MEDICARE: ANASTASIA SCANGAS M.S.W., 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	1041C0700X	Clinical Social Worker	149021395	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149021395	OTHER	IL	ILLINOIS DEPARTMENT OF FINANCE AND PROFESSIONAL REGULATION

General Provider Information

NPI Number	:	1790221521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASTASIA SCANGAS M.S.W., LCSW

Provider Business Mailing Address
First Line	:	4850 N MEADE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2902
Country	:	US
Telephone Number	:
Fax Number	:	331-871-9089

Provider Business Practice Location Address
First Line	:	4305 N LINCOLN AVE STE Q
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1807
Country	:	US
Telephone Number	:	773-691-3681
Fax Number	:	331-871-9089

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

Provider Enumeration Date	:	01/18/2017
Last Update Date	:	02/08/2026

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