Provider Demographics
NPI:1316061260
Name:WRIGHT SCHMIDT, ANNE K (MA, LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:WRIGHT SCHMIDT
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:WRIGHT
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 LAKE ST STE 436
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1288
Mailing Address - Country:US
Mailing Address - Phone:708-848-3285
Mailing Address - Fax:708-383-2283
Practice Address - Street 1:1011 LAKE ST STE 436
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1288
Practice Address - Country:US
Practice Address - Phone:708-848-3285
Practice Address - Fax:708-383-2283
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490029601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical