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LIFESKILLS CENTER, LTD
NPI 1063623940
Social Worker - Clinical in Antioch, IL

Active since May 24, 2007
479 NORTH AVE, ANTIOCH, IL 60002(224) 577-5022(847) 395-9551 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifeskills Center, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESKILLS CENTER, LTD (NPI 1063623940) is a healthcare organization registered as a clinical in Antioch, Illinois and active in the NPI registry since May 2007. The organization lists Susan A White, Owner, as its authorized official.

NPPES Registry Identity

NPI1063623940
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFESKILLS CENTER, LTD
Location Address479 NORTH AVEAntioch, IL 60002-1323
Mailing Address479 North AveAntioch, IL 60002-1323 · (224) 577-5022 · Fax (847) 395-9551
Phone(224) 577-5022
Fax(847) 395-9551
Organization SubpartNo
Authorized OfficialSusan A WhiteOwner · (224) 577-5022
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1063623940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149011526
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
479 NORTH AVE, Antioch, IL 60002
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Other Identifiers 2

Other11722321IL · Caqh
Other1508919812IL · Npi Type 1

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifeskills Center, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifeskills Center, Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan White, LCSW
Clinical Social Worker
NPI 1508919812
800 MAIN ST STE 11 LOWER LEVEL
Antioch, IL 60002
(224) 577-5022
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeskills Center, Ltd's NPI number?

The NPI number for Lifeskills Center, Ltd is 1063623940. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Lifeskills Center, Ltd located?

Lifeskills Center, Ltd is located at 479 North Ave, Antioch, IL 60002. The listed phone number is (224) 577-5022.

What is Lifeskills Center, Ltd's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lifeskills Center, Ltd enrolled in Medicare?

Yes. Lifeskills Center, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeskills Center, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Lifeskills Center, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifeskills Center, Ltd was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.