Individual provider Active NPI

Sheryl Ann Wandler, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1962717744
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008474 Issued in IL
Practice address
722 W Briar PL
Unit 3
Chicago, IL 60657-4515
Phone
(773) 294-1834
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 149.008474 IL Primary

Addresses

Primary practice location

722 W Briar PL
Unit 3
Chicago, IL 60657-4515

Mailing address

722 W Briar PL
Unit 3
Chicago, IL 60657-4515
Phone (773) 294-1834

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216003511 IL Practitioner - Clinical Social Worker 6002301108 Practice locations: Chicago, IL; Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1830 Sherman Ave
Suite 304
Evanston, IL 60201-3772
Phone (773) 294-1834

722 W Briar PL
Apt 3
Chicago, IL 60657-9782
Phone (773) 294-1834

722 W Briar Place
Unit 3
Chicago, IL 60657-9782

722 W Briar Place Unit
Suite 3
Chicago, IL 60657-9782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1962717744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W BRIAR PL",
            "address_2": "UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574515",
            "telephone_number": "773-294-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W BRIAR PL",
            "address_2": "UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574515",
            "telephone_number": "773-294-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDLER",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.