MEDICARE: ANTHONY MASON 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	104100000X	Social Worker	150104345	IL
2	1041C0700X	Clinical Social Worker	149023666	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	150104345	OTHER	IL	THROUGH COMPANY

General Provider Information

NPI Number	:	1528647427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY MASON LCSW

Provider Business Mailing Address
First Line	:	111 LIONS DR STE 210
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-3175
Country	:	US
Telephone Number	:	224-404-0277
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 LACROSSE LN STE OFFICE4
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8279
Country	:	US
Telephone Number	:	630-473-3971
Fax Number	:

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

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	01/21/2026

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