Provider Demographics
NPI:1326124082
Name:SCHMIT, ALAN J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:SCHMIT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10522 S CICERO AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5200
Mailing Address - Country:US
Mailing Address - Phone:708-636-2211
Mailing Address - Fax:708-636-5552
Practice Address - Street 1:10522 S CICERO AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5200
Practice Address - Country:US
Practice Address - Phone:708-636-2211
Practice Address - Fax:708-636-5552
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0103501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK02099Medicare UPIN