Healthcare Provider Details
I. General information
NPI: 1730938598
Provider Name (Legal Business Name): ANNMARIE HELENA SCHENING LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 EISENHOWER LN STE 900
LISLE IL
60532-2135
US
IV. Provider business mailing address
5943 MEADOW DR
LISLE IL
60532-2907
US
V. Phone/Fax
- Phone: 630-428-7890
- Fax:
- Phone: 847-849-6702
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 149031831 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 38323 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: