Stephanie Maszak, LCSW, CADC, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1490175 Issued in IL

Practice address

803 N Bridge St Ste D
Yorkville, IL 60560-2156

Phone

(331) 216-3363

NPI assigned

Jan 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• This Life Counseling, LLC

  • Multi-Specialty Clinic/Center
  • Yorkville, IL
  • NPI 1295247518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1669744348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N BRIDGE ST",
            "address_2": "STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602156",
            "telephone_number": "331-216-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N BRIDGE ST STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602156",
            "telephone_number": "331-216-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 N. Highland Ave.",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "60506",
            "country_code": "US",
            "telephone_number": "630-859-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASZAK",
        "first_name": "STEPHANIE",
        "credential": "LCSW, CADC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30066",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "1490175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaily Paramjeet Macker, MD
• Farah Malik, MD
• Maricela Escamilla Mallory, PSY.D.
• Daidra L Marano, PSY.D
• Rachael Christine Martin, PHARMD
• Robert F. Matlock, M.D.
• Skyelar Matson
• David N McAuslan, D.D.S.
• Demarcus Anthony McCullough
• Ashley McDermott, MS, CCC-SLP

• Clinical Social Worker in Yorkville, IL
• Providers in Yorkville, 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 Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.