Individual provider Active NPI

Jennifer Christine Scheiwiller, LSW

  • Clinical Social Worker
  • Lake Zurich, IL
National Provider Identifier
1720666423
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.104275 Issued in IL
Practice address
1508 Eddy LN
Lake Zurich, IL 60047-2938
Phone
(847) 373-0078
NPI assigned
Apr 1, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 150.104275 IL Primary

Addresses

Primary practice location

1508 Eddy LN
Lake Zurich, IL 60047-2938

Mailing address

1508 Eddy LN
Lake Zurich, IL 60047-2938
Phone (847) 373-0078

Other practice location 1

400 Central Ave Ste 202
Northfield, IL 60093-3024
Phone (773) 644-1522

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
150.104275ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa a. Frey, LCSW LLC Clinical PastSince Nov 13, 2015 Accepting new patients
Rachel Dubrow LCSW PLLC Clinical Past Accepting new patients

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1720666423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 EDDY LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472938",
            "telephone_number": "847-373-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 EDDY LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472938",
            "telephone_number": "847-373-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Central Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600933024",
            "country_code": "US",
            "telephone_number": "773-644-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEIWILLER",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.104275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.