Individual provider Active NPI

Cynthia S Schiller, LCSW, ACSW

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1194760892
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001979A Issued in IN
Practice address
416 E 86TH Ave
Merrillville, IN 46410-6211
Phone
(219) 378-8222
Fax
(219) 945-0247
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001979A IN Primary

Addresses

Primary practice location

416 E 86TH Ave
Merrillville, IN 46410-6211

Mailing address

950 Port Cir
Hobart, IN 46342-4100
Phone (219) 378-8222

Other names 1

  • Cynthia S Schiller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20071026000310 IN Practitioner - Clinical Social Worker 5395832158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1512 W 96TH Ave
Suite E
Crown Point, IN 46307-6266
Phone (219) 378-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001979AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling and Associates, Inc. Clinical CurrentSince Oct 26, 2007 Accepting new patients

Locations

1512 W 96th Ave
Ste E
Crown Point, IN 46307
Phone (219) 378-8222

416 E 86th Ave
Merrillville, IN 46410
Phone (219) 378-8222

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1194760892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PORT CIR",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424100",
            "telephone_number": "219-378-8222",
            "fax_number": "219-945-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106211",
            "telephone_number": "219-378-8222",
            "fax_number": "219-945-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001979A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "SCHILLER",
            "middle_name": "S",
            "credential": "LCSW, ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.