Susan a Schaffer LCSW, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SUSAN A SCHAFFER LCSW, INC.

Practice address

601 Skokie Blvd Ste 207
Northbrook, IL 60062-2818

Phone

(224) 208-5198

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Susan A Schaffer, LCSWNPI 1619236031

Title

Owner/President

Phone

(847) 217-6871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan A Schaffer, LCSW

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1619236031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1801613559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 WESTERN AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 207",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622818",
            "telephone_number": "224-208-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A SCHAFFER LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-217-6871",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Infusion Services Inc
• Klara Suparman
• Ishaan Sura
• Bess Surmenkow, LCPC
• Narcisa Surucci, M.D.
• Edie Sue Sutker, LCSW
• Lukas A. Suveg, AU.D.
• John Edward Swank III
• Iliana Elias Sweis, M.D.
• Katherine N Swift, RPH CGP

• Adult Mental Health Clinic/Center in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.