Individual provider Active NPI

Randi Beth Schulman, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1356394530
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011402 Issued in IL
Practice address
501 Davis St
Evanston, IL 60201-4619
Phone
(312) 815-9660
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X IL
Clinical Social Worker 1041C0700X 149011402 IL Primary

Addresses

Primary practice location

501 Davis St
Evanston, IL 60201-4619

Mailing address

501 Davis St
Evanston, IL 60201-4619
Phone (312) 815-9660

Other practice location 1

10024 Skokie Blvd
Ste 243
Skokie, IL 60077-9945
Phone (847) 830-0365

Other identifiers 1

IdentifierTypeStateIssuer
222Q00000XMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000568 IL Practitioner - Clinical Social Worker 2466484944 Reassigns benefits to 1 organization
Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Clinic LLCGroup PAC ID 7517284755, 110 clinicians

Practice addresses (Care Compare)

501 Davis St
Evanston, IL 60201-4619
Phone (312) 546-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011402ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic PLLC Clinical CurrentSince May 9, 2022 Accepting new patients
Clarity Clinic Arlington Heights, LLC Multi-Specialty CurrentSince Jun 20, 2022 Accepting new patients
Borst & Associates Inc Clinical PastSince Apr 3, 2010 Accepting new patients

Locations

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

501 Davis St
Evanston, IL 60201
Phone (312) 546-4193

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1356394530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014619",
            "telephone_number": "312-815-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014619",
            "telephone_number": "312-815-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "STE 243",
            "address_purpose": "LOCATION",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779945",
            "country_code": "US",
            "telephone_number": "847-830-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "RANDI",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222Q00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.