Mary Ellen Schwartzhoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011833 Issued in IL

Practice address

1402 Castlewood Dr
Wheaton, IL 60189-7510

Phone

(630) 664-8824

NPI assigned

Jul 18, 2023

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

Other names 1

• Mary Ellen Gardiner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1750061404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 CASTLEWOOD DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897510",
            "telephone_number": "630-664-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 CASTLEWOOD DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897510",
            "telephone_number": "630-664-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZHOFF",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "269491",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GARDINER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michaela Schurr
• Kathryn Germaine Schutt-Kinnear, M.D.
• Catherine Schuurmann, LCPC
• Judith Bumbar Schwartz, R.N.C., W.H.N.P.
• Madelyn C Schwartz
• Jessica Schwarz, LCSW, LSOE, LSOTP
• Marvin J. Schwarz, MD
• Justin Lee Scopel, MD
• Afton Scott
• Barbara Jean Scott, PH.D.

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, 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 Jul 18, 2023; 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.