Individual provider Active NPI

Susan Marie Schillmoeller, MSW, LCSW

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1376042580
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012569 Issued in IL
Practice address
3051 E New York St
Aurora, IL 60504-5160
Phone
(630) 978-5283
Fax
(630) 585-5588
NPI assigned
Feb 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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 149.012569 IL Primary

Addresses

Primary practice location

3051 E New York St
Aurora, IL 60504-5160

Mailing address

3051 E New York St
Aurora, IL 60504-5160
Phone (630) 978-5283

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
149.012569ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois PastSince Oct 23, 2022 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois PastSince Oct 23, 2022 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois PastSince Oct 23, 2022 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients

Organizations & group practices 9

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1376042580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045160",
            "telephone_number": "630-978-5283",
            "fax_number": "630-585-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045160",
            "telephone_number": "630-978-5283",
            "fax_number": "630-585-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLMOELLER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.