| Anita Schmidt Counseling, Inc. | |
|
825 S Waukegan Road Suite A8 Pmb 1079 Lake Forest IL 60045-6004 | |
| (847) 786-5682 | |
| Not Available |
| Full Name | Anita Schmidt Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 825 S Waukegan Road, Lake Forest, Illinois |
| Authorized Official Name and Position | Anita L Schmidt (OWNER) |
| Authorized Official Contact | 8477865682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Schmidt Counseling, Inc. 825 S Waukegan Road Suite A8 Pmb 1079 Lake Forest IL 60045-6004 Ph: (847) 786-5682 | Anita Schmidt Counseling, Inc. 825 S Waukegan Road Suite A8 Pmb 1079 Lake Forest IL 60045-6004 Ph: (847) 786-5682 |
| NPI Number | 1336761766 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 3072996487 |
|---|---|
| Medicare Enrollment ID | O20220818000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336761766 | NPI | - | NPPES |
| F300420002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anita Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326317801 PECOS PAC ID: 9537447560 Enrollment ID: I20220818000363 |
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