Individual provider Active NPI

Anita Lynn Schmidt, MSW, LCSW

  • Clinical Social Worker
  • Lake Forest, IL
National Provider Identifier
1326317801
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018506 Issued in IL
Practice address
825 S Waukegan Road
Suite A8 PMB 1079
Lake Forest, IL 60045-6004
Phone
(847) 786-5682
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150013239 IL
Clinical Social Worker 1041C0700X CSW.09928038 CO
Clinical Social Worker 1041C0700X 149.018506 IL Primary

Addresses

Primary practice location

825 S Waukegan Road
Suite A8 PMB 1079
Lake Forest, IL 60045-6004

Mailing address

825 S Waukegan Rd Ste A8
PMB 1079
Lake Forest, IL 60045-2665
Phone (847) 786-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161026002287 IL Practitioner - Clinical Social Worker 9537447560 Practice locations: Lake Forest, IL
I20220818000363 CO Practitioner - Clinical Social Worker 9537447560 Reassigns benefits to 1 organization
I20260616003555 AR Practitioner - Clinical Social Worker 9537447560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Denver, CO 80220
Phone (847) 786-5682

6834 Cantrell Rd
Suite 1386
Little Rock, AR 72207-4135
Phone (847) 786-5682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150013239ILMDSocial Worker
149.018506ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Schmidt Counseling, Inc. Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

6834 Cantrell Rd
Little Rock, AR 72207
Phone (501) 291-0420

6547 N Academy Blvd
Colorado Springs, CO 80918
Phone (719) 257-3027

825 S Waukegan Rd
Ste A8
Lake Forest, IL 60045
Phone (773) 960-2771

466 Central Ave
Ste 50
Northfield, IL 60093

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": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1326317801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S WAUKEGAN RD STE A8",
            "address_2": "PMB 1079",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452665",
            "telephone_number": "847-786-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S WAUKEGAN ROAD",
            "address_2": "SUITE A8 PMB 1079",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600456004",
            "telephone_number": "847-786-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ANITA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150013239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.