Jane Ellen Schultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018692 Issued in IL

Practice address

701 Lee St Ste 100
Des Plaines, IL 60016-4543

Phone

(847) 390-3004

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1386376580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 W CATALPA AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400730",
            "telephone_number": "847-651-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LEE ST STE 100",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164543",
            "telephone_number": "847-390-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.familybehavioralhealthclinic.com",
            "affiliation": "Y",
            "endpointDescription": "1",
            "affiliationName": "Maryville Academy",
            "address_1": "701 Lee St Ste 100",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600164543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Schmidt, OTR/L
• Caroline Schneider, OT
• Mari Margaret Schnitzius-Richko, M.A.,N.D.,L.C.P.C.
• Nicole Scholpp, LMT, CMTPT
• Tera Kathleen Schreiber, LCPC
• Kelly Schultz, STUDENT
• Cassandra Schulz
• Joellyn Krupp Schwartz, P.T.
• Hillary Blumthal Schweihs, O.D.
• Steven Anthony Sciame, D.C.

• Clinical Social Worker in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.