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NPI Code Detail

MEDICARE: MS. LAUREN SCHMIDT LCSW

MEDICARE: MS. LAUREN SCHMIDT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.021587IL

General Provider Information

NPI Number : 1033733159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN SCHMIDT LCSW
Provider Business Mailing Address
First Line : 4419 N ALBANY AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60625-4766
Country : US
Telephone Number : 847-612-5859
Fax Number :
Provider Business Practice Location Address
First Line : 3020 N KIMBALL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6812
Country : US
Telephone Number : 773-484-7948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2020
Last Update Date : 10/20/2022

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