Individual provider Active NPI

Susan Kay Schreiber Devillez, LCSW

  • Clinical Social Worker
  • Palos Heights, IL
National Provider Identifier
1346364528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
11801 SW Highway
Suite 3CN
Palos Heights, IL 60463-1037
Phone
(708) 361-7435
Fax
(847) 543-0001
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

11801 SW Highway
Suite 3CN
Palos Heights, IL 60463-1037

Mailing address

203 Bluff Ave
Grayslake, IL 60030-2312
Phone (847) 548-3602

Other identifiers 1

IdentifierTypeStateIssuer
01673711OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Mrs. Susan Kay Schreiber Former 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
149002783ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346364528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BLUFF AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302312",
            "telephone_number": "847-548-3602",
            "fax_number": "847-543-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SW HIGHWAY",
            "address_2": "SUITE 3CN",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631037",
            "telephone_number": "708-361-7435",
            "fax_number": "847-543-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER DEVILLEZ",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01673711",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SCHREIBER",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.