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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHANNON NICOLE MAXIMOV, LCSW

Active

MS. SHANNON NICOLE MAXIMOV, LCSW is a Clinical Social Worker healthcare provider located in LAKE FOREST, Illinois. NPI 1245378835 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAKE FOREST, IL

Registration Details

NPI Number
1245378835
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2007 (19.503477645033 yrs)
Last Updated
Mar 31, 2022
License
149023293 (IL)

Practice Information

Address
900 N WESTMORELAND RD STE 114
LAKE FOREST, IL, 600451680
Browse IL providers · Browse ZIP 60045
Phone
3126957542
Fax
3126942535
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LAKE FOREST, IL

Name Credential NPI
MS. SUSAN JANE GLAZER BELGRAD MSW ACSW LCSW 1639381239
MS. DEBRA WARREN LCSW, ACSW, BCD 1588851083
CARRIE PODOLSKY LCSW 1790938561
MS. ANITA LYNN SCHMIDT MSW, LCSW 1326317801
MARIE SANDRA FUENTES HARRIS LCSW 1962803882
SUPRIYA MOHAN 1093195794
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.