Active NPI
Ann Clark Schulz, LCSW
- Clinical Social Worker
- Burr Ridge, IL
National Provider Identifier
1689813792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.009613
- Practice address
- 200 S Frontage Rd Ste 320
Burr Ridge, IL 60527-6953 - Phone
- (630) 423-5998
- Fax
- (630) 537-1241
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009613 | IL | Primary |
Addresses
Primary practice location
200 S Frontage Rd Ste 320
Burr Ridge, IL 60527-6953
Mailing address
200 S Frontage Rd Ste 320
Burr Ridge, IL 60527-6953
Phone (630) 423-5998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04515143 | Other | IL | BCBS# |
Other names 1
- Ann Clark Shields
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 S Frontage Rd
Suite 320
Burr Ridge, IL 60527-6953
Phone (630) 423-5998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009613 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoring Wellness Clinical Services, PLLC | Clinical | Current | Accepting new patients |
Locations
200 S Frontage Rd
Ste 320
Burr Ridge, IL 60527
Phone (630) 337-8006
Organizations & group practices 1
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": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1689813792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S FRONTAGE RD STE 320",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276953",
"telephone_number": "630-423-5998",
"fax_number": "630-537-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S FRONTAGE RD STE 320",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276953",
"telephone_number": "630-423-5998",
"fax_number": "630-537-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "ANN",
"middle_name": "CLARK",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.009613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS#",
"identifier": "04515143",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "SHIELDS",
"middle_name": "CLARK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.