Shannon Nicole Maximov, LCSW
NPI 1245378835ActiveIndividual· Social Worker, Clinical· Lake Forest, IL
Social Worker, Clinical (LCSW) with Northwestern Medical Faculty Foundation, practicing in Lake Forest, Illinois. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1245378835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Feb 3, 2007 |
| Last updated in NPPES | Mar 31, 2022 |
| Certified by provider | Mar 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149023293 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA); Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Other clinical social workers in Lake Forest
- 1326317801
- 1336761766
- 1497176523
- 1518466994
- 1811688047
- 1841187531
- 1922556943
- 1992214795
- 1053770503
- 1639381239
- 1750026886
- 1811512452
All 36 clinical social workers in Lake Forest · All clinical social workers in Illinois