Healthcare Provider Details

I. General information

NPI: 1356776082
Provider Name (Legal Business Name): STACEY LEE SCHAYER-NAG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 WATERSIDE DR
SOUTH ELGIN IL
60177-3715
US

IV. Provider business mailing address

1005 W PENDLETON PL
MOUNT PROSPECT IL
60056-2950
US

V. Phone/Fax

Practice location:
  • Phone: 708-575-7255
  • Fax: 708-668-7826
Mailing address:
  • Phone: 847-691-0391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.011312
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: