Individual provider Active NPI

Lisa Schaedler, LSW LCSW

  • Clinical Social Worker
  • Lisle, IL
National Provider Identifier
1174978860
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020338 Issued in IL
Practice address
4774 Hill Trail Rd Apt 2C
Lisle, IL 60532
Phone
(785) 408-0775
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150102173 IL
Clinical Social Worker 1041C0700X 149020338 IL Primary

Addresses

Primary practice location

4774 Hill Trail Rd Apt 2C
Lisle, IL 60532

Mailing address

4774 Hill Trail Rd Apt 2C
Lisle, IL 60532-3824
Phone (785) 408-0775

Other practice location 1

218 NE Norris St
Topeka, KS 66608-1217
Phone (785) 408-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929003012 IL Practitioner - Clinical Social Worker 2062819360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sherrie D All, PHD, PCGroup PAC ID 7618121922, 10 clinicians

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1621
Chicago, IL 60602-3669
Phone 85526493550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150102173ILMDSocial Worker
149020338ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrie D All, PHD, PC CurrentSince Aug 23, 2021 Accepting new patients
Affiliates in Counseling LLC Clinical PastSince Aug 23, 2021 Accepting new patients

Locations

30 N Michigan Ave
Ste 2029
Chicago, IL 60602
Phone (773) 345-3495

6033 N Sheridan Rd
Ste S7
Chicago, IL 60660
Phone (708) 320-8801

30 N Michigan Ave
Ste 1621
Chicago, IL 60602
Phone (773) 508-4788

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1174978860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 HILL TRAIL RD APT 2C",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323824",
            "telephone_number": "785-408-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 HILL TRAIL RD APT 2C",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "785-408-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 NE Norris St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666081217",
            "country_code": "US",
            "telephone_number": "785-408-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEDLER",
        "first_name": "LISA",
        "credential": "LSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150102173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.