Provider Demographics
NPI:1386743821
Name:SCHMIT, JANE T (LCSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:T
Last Name:SCHMIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S PRAIRIE AVE APT 2102
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3425
Mailing Address - Country:US
Mailing Address - Phone:773-882-5263
Mailing Address - Fax:312-929-2991
Practice Address - Street 1:1201 S PRAIRIE AVE APT 2102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3425
Practice Address - Country:US
Practice Address - Phone:773-882-5263
Practice Address - Fax:312-929-2991
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
IL1490044801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001627891OtherBLUE CROSS BLUE SHIELD