MEDICARE: WENDY SCHULTZ 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
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor	150.014825	IL
3	104100000X	Social Worker	150.014825	IL
4	1041C0700X	Clinical Social Worker	149.02194	IL
5	1041S0200X	School Social Worker
6	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1386061059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY SCHULTZ LCSW

Provider Business Mailing Address
First Line	:	309 E RAND RD STE 112
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 N OAK WOOD DR
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7215
Country	:	US
Telephone Number	:	847-297-3821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	06/27/2022

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