Individual provider Active NPI

Anna Mae Shriver, LCSW

  • Clinical Social Worker
  • Swansea, IL
National Provider Identifier
1225848849
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024844 Issued in IL
Practice address
12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314
Phone
(844) 850-4569
Fax
(772) 264-3838
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2647453 IL
Clinical Social Worker 1041C0700X TPSW6358 FL
Clinical Social Worker 1041C0700X 149.024844 IL Primary

Addresses

Primary practice location

12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314

Mailing address

12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314
Phone (844) 850-4569

Other names 1

  • Mae Shriver Other name

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

LicenseStateTypeSpecialty
149.024844ILMDClinical Social Worker
2647453ILMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1225848849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "844-850-4569",
            "fax_number": "772-264-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "844-850-4569",
            "fax_number": "772-264-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "ANNA",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2647453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW6358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "SHRIVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.