Ann Bystedt, LCSW
Individual provider Active NPI Clinical Social Worker · Northfield, IL
NPI 1194043430 · NPPES record last updated May 11, 2010
Key facts
- NPI
- 1194043430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149010793 (IL)
- Practice address
- 550 W Frontage Rd
Northfield, IL 60093-1202 - Phone
- (773) 908-1224
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149010793 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149010793 | IL | Yes |
Addresses
Primary practice location
550 W Frontage Rd
Northfield, IL 60093-1202
Mailing address
3707 N Harding Ave
Chicago, IL 60618-4026
Phone (773) 478-0731
Other providers in Northfield, IL
- Bryn W. Jessup, PHD, PC
- Iryna Bugay
- Tia Burel
- Andrea J Burruss
- Joseph W. Byrne
- John Raymond Cahill III
- Virginia Calderon
- Judy Ann Callans
- Daniel Callistein
- Anissa Calvin
All providers in Northfield, 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 May 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.