Active NPI
Stephanie Landazzi, LSW
- Social Worker
- Antioch, IL
National Provider Identifier
1104761295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.118622
- Practice address
- 960 Victoria St
Antioch, IL 60002-1519 - Phone
- (224) 267-2345
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.118622 | IL | Primary |
Addresses
Primary practice location
960 Victoria St
Antioch, IL 60002-1519
Mailing address
1480 Spring Brook CT Unit 3B
Round Lake Beach, IL 60073-4619
Phone (815) 575-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.118622 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1104761295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 SPRING BROOK CT UNIT 3B",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600734619",
"telephone_number": "815-575-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 VICTORIA ST",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021519",
"telephone_number": "224-267-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAZZI",
"first_name": "STEPHANIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.118622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.