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MS. SHANNON NICOLE MAXIMOV LCSW
NPI 1245378835
Social Worker - Clinical in Lake Forest, IL

Active since February 03, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
900 N WESTMORELAND RD STE 114, LAKE FOREST, IL 60045(312) 695-7542(312) 694-2535 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Shannon Nicole Maximov Lcsw NPPES

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

MS. SHANNON NICOLE MAXIMOV LCSW (NPI 1245378835) is an individual clinical provider in Lake Forest, Illinois, licensed in Illinois (149023293) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245378835
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON NICOLE MAXIMOVCredential: LCSW
Location Address900 N WESTMORELAND RD STE 114Lake Forest, IL 60045-1680
Mailing Address900 N Westmoreland Rd Ste 114Lake Forest, IL 60045-1680 · (312) 695-7542 · Fax (312) 694-2535
Phone(312) 695-7542
Fax(312) 694-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 3, 2007
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1245378835 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 · 149023293
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.
900 N WESTMORELAND RD STE 114, Lake Forest, IL 60045
Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Shannon Nicole Elkins Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannon Nicole Maximov Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446563985
PECOS Enrollment IDI20211202001886
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannon Maximov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation
25 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Grow Healthcare Group PA
1,217 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group PC
1,830 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Shannon Maximov's NPI number?

The NPI number for Shannon Maximov is 1245378835. It was assigned to this individual provider in the NPPES registry on February 3, 2007. The provider is also known as Ms. Shannon Nicole Elkins Lcsw.

Where is Shannon Maximov located?

Shannon Maximov practices at 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045. The listed phone number is (312) 695-7542.

What is Shannon Maximov's specialty?

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

Is Shannon Maximov enrolled in Medicare?

Yes. Shannon Maximov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shannon Maximov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Maximov reassigns Medicare benefits to 3 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL), Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). Each 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 Shannon Maximov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Maximov was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.