Active NPI
Shannon Warnicki, LCSW
- Clinical Social Worker
- Romeoville, IL
National Provider Identifier
1275970808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015704
- Practice address
- 30 Phelps Ave
Romeoville, IL 60446-1335 - Phone
- (815) 409-5363
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 149015704 | IL | |
| Clinical Social Worker | 1041C0700X | 149015704 | IL | Primary |
Addresses
Primary practice location
30 Phelps Ave
Romeoville, IL 60446-1335
Mailing address
30 Phelps Ave
Romeoville, IL 60446-1335
Phone (815) 409-5363
Other practice location 1
7670 Marmora Ave
Skokie, IL 60077-2628
Phone (847) 967-1800 ext. 153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015704 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individual Advocacy Group, Inc. | Current | Accepting new patients | |
| A New Day Counseling & Family Wellness, Inc. NFP | Clinical | Current | Accepting new patients |
| A New Day Family Counseling | Clinical | Past | Accepting new patients |
Locations
23908 W Main St
Plainfield, IL 60544
Phone (815) 683-8700
30 Phelps Ave
Romeoville, IL 60446
Phone (630) 755-0053
1289 Windham Pkwy
Romeoville, IL 60446
Phone (630) 759-0201
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1275296899
-
- Adult Mental Health Clinic/Center
- Romeoville, IL
- NPI 1801477799
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1013538131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1275970808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PHELPS AVE",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604461335",
"telephone_number": "815-409-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PHELPS AVE",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604461335",
"telephone_number": "815-409-5363"
}
],
"practiceLocations": [
{
"address_1": "7670 Marmora Ave",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600772628",
"country_code": "US",
"telephone_number": "847-967-1800 x153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNICKI",
"first_name": "SHANNON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2023-10-23",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "149015704",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.