Schmidt, Stacy

Schmidt, Stacy is an sole proprietor health care provider with primary practice located at 1845 Grandstand Pl , Elgin IL 60123-6603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schmidt, Stacy can be contacted via phone (847) 809-4324.

Contact Information

Primary practice address
1845 Grandstand Pl Elgin IL 60123-6603
Phone: (847) 809-4324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149016927 Illinois

Profile Details

NPI number 1538597828
LBN Legal business name Schmidt, Stacy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2013
Last updated Dec 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538597828 NPPES
Illinois MEDICAID 1538597828

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