Individual provider Active NPI

Tracy Ann Lanier, MSW, LCSW

  • Clinical Social Worker
  • Palatine, IL
National Provider Identifier
1417228560
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013836 Issued in IL
Practice address
110 N Brockway St Ste 300
Palatine, IL 60067-5063
Phone
(847) 485-1640
Fax
(224) 829-0646
NPI assigned
Jan 21, 2012
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 149.013836 IL Primary

Addresses

Primary practice location

110 N Brockway St Ste 300
Palatine, IL 60067-5063

Mailing address

110 N Brockway St Ste 300
Palatine, IL 60067-5063
Phone (847) 485-1640

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
I20200605001958 IL Practitioner - Clinical Social Worker 7315368958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

735 W Diversey Pkwy
Chicago, IL 60614-2337
Phone (888) 705-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013836ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Support PLLC CurrentSince Sep 7, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Aug 15, 2024 Accepting new patients

Locations

735 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 348-4055

110 N Brockway St
Ste 300
Palatine, IL 60067
Phone (224) 310-9927

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1417228560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BROCKWAY ST STE 300",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675063",
            "telephone_number": "847-485-1640",
            "fax_number": "224-829-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BROCKWAY ST STE 300",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675063",
            "telephone_number": "847-485-1640",
            "fax_number": "224-829-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.