Yusra Al-Shawaf, LCSW
Individual provider Active NPI Clinical Social Worker · Naperville, IL
NPI 1104306158 · NPPES record last updated Aug 20, 2018
Key facts
- NPI
- 1104306158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.019321 (IL)
- Practice address
- 1560 Wall St
Naperville, IL 60563-1123 - Phone
- (630) 854-9096
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richard Kneip PHD PC
Practice addresses (Care Compare)
1560 Wall St
Suite 204
Naperville, IL 60563-1146
Phone (800) 693-1916
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190204000306 | IL | Practitioner - Clinical Social Worker | 0840537585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019321 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current |
Accepting new patients |
Locations
1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749
1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019321 | IL | Yes |
Addresses
Primary practice location
1560 Wall St
Naperville, IL 60563-1123
Mailing address
2234 Keim Rd
Naperville, IL 60565-4007
Other providers in Naperville, IL
- Faisal Akbari
- Keisha Monick Akins
- Akl Javier Akl Docaos
- Oko Sowah Akrong
- Asmaa R. Al-Kadhi
- Julienne Alberico
- Ryan Alberts
- Edward Alcaraz
- Alden Estates of Naperville, Inc.
- Alden Estates of Naperville, Inc.
All providers in Naperville, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.