Ms Shannon Nicole Maximov, LCSW - Medicare Clinical Social Worker in Lake Forest, IL

Ms Shannon Nicole Maximov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Forest, Illinois. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 900 N Westmoreland Rd Ste 114, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-7542.

Ms Shannon Nicole Maximov is licensed to practice in Illinois (license number 149023293) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245378835.

Contact Information

Ms Shannon Nicole Maximov, LCSW
900 N Westmoreland Rd Ste 114,
Lake Forest, IL 60045-1680
(312) 695-7542
(312) 694-2535

Map and Direction




Healthcare Provider's Profile

Full NameMs Shannon Nicole Maximov
GenderFemale
SpecialityClinical Social Worker
Experience20 Years
Location900 N Westmoreland Rd Ste 114, Lake Forest, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Shannon Nicole Maximov graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1245378835
  • Provider Enumeration Date: 02/03/2007
  • Last Update Date: 03/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446563985
  • Enrollment ID: I20211202001886

Medical Identifiers

Medical identifiers for Ms Shannon Nicole Maximov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245378835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149023293 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Shannon Nicole Maximov allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220414000139

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shannon Nicole Maximov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shannon Nicole Maximov, LCSW
900 N Westmoreland Rd Ste 114,
Lake Forest, IL 60045-1680

Ph: (312) 695-7542
Ms Shannon Nicole Maximov, LCSW
900 N Westmoreland Rd Ste 114,
Lake Forest, IL 60045-1680

Ph: (312) 695-7542

Reviews and Comments


Social Worker in Lake Forest, IL

Alice K Virgil, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 950 N Western Ave, Suite 1a, Lake Forest, IL 60045
Phone: 773-919-9170    Fax: 773-919-9170
Esther Harris, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045
Phone: 847-535-6489    Fax: 847-535-7655
Supriya Mohan,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045
Phone: 847-535-8060    Fax: 847-535-8070
Jianna Dominique Santello, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1145 Pine Oaks Cir, Lake Forest, IL 60045
Phone: 847-767-5083    
Brooke M Jacobs, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-535-7058    
Caleen K Mcgrath, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 764-784-7535    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.