Individual provider Active NPI

Sarah Shaw

  • Social Worker
  • Naperville, IL
National Provider Identifier
1730935081
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.104506 Issued in IL
Practice address
1979 N Mill St Ste 105
Naperville, IL 60563-1295
Phone
(630) 281-2496
NPI assigned
Apr 27, 2024
Last updated
Apr 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.104506 IL Primary

Addresses

Primary practice location

1979 N Mill St Ste 105
Naperville, IL 60563-1295

Mailing address

1648 W Sherwin Ave Apt 2a
Chicago, IL 60626-7041
Phone (810) 444-7062

Other practice location 1

15900 W 127th St Ste 201
Lemont, IL 60439-2912
Phone (630) 281-2496

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
150.104506ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Works CurrentSince Apr 28, 2024 Accepting new patients

Locations

15900 W 127th St
Ste 201
Lemont, IL 60439
Phone (630) 243-6300

1979 N Mill St
Ste 105
Naperville, IL 60563
Phone (630) 200-1954

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, 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": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1730935081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 W SHERWIN AVE APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606267041",
            "telephone_number": "810-444-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631295",
            "telephone_number": "630-281-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 W 127th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604392912",
            "country_code": "US",
            "telephone_number": "630-281-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.