Mary Roberta Seal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013921 Issued in IL

Practice address

1308 Waukegan Rd
Glenview, IL 60025-3070

Phone

(847) 486-4140

Fax

(847) 486-4145

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cognitive Care Counseling, PLLC

  • Clinical Social Worker
  • Huntley, IL
  • NPI 1013532191
  NPD (past)
• North Shore Pediatric Therapy

  • Pediatric Physical Therapist
  • Glenview, IL
  • NPI 1639211022
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1235514985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LEE ST",
            "address_2": "SUITE 10",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166532",
            "telephone_number": "877-486-4140",
            "fax_number": "847-486-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253070",
            "telephone_number": "847-486-4140",
            "fax_number": "847-486-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "MARY",
        "middle_name": "ROBERTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Schwartzwald
• Katlyn Schwarz
• Erin Schwenke, OTR/L
• Krystin Scott Huwyler, MSW, BCBA, LBA
• Scott L Rosen MD LTD
• Nicole Fuhs Seanor, M.A., CCC-SLP
• Tamara Sedenkov, PT
• Thelma A Segbawu, OTR/L
• Christine Seibt, DPT
• Aiko Sabrina Sekino

• Clinical Social Worker in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.