Agnieszka Liniewiecka-Dziwok, LCPC

Primary specialty

SpecialistTaxonomy code 174400000X

License

178.007964 Issued in IL

Practice address

1375 E Schaumburg Road
Suite 230
Schaumburg, IL 60194

Phone

(847) 895-4540

Fax

(847) 895-4544

NPI assigned

Apr 13, 2012

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pine Tree Psychotherapy PLLC

  • Mental Health Counselor
  • Lake Stevens, WA
  • NPI 1861333239
  NPD Authorized official
• Stillpoint Mental Health Associates, S.C.

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1285653303
  NPD (past)
• Stillpoint Mental Health Associates, SC

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1760854970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1043577174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST OGDEN AVENUE",
            "address_2": "SUITE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-325-8893",
            "fax_number": "630-325-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG ROAD",
            "address_2": "SUITE 230",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "847-895-4540",
            "fax_number": "847-895-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINIEWIECKA-DZIWOK",
        "first_name": "AGNIESZKA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "178.007964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PROFESSIONAL LICENSE",
            "identifier": "178.007964",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "180009544",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental PLLC (Vida Dental)
• Lifeworks Health Centers of Schaumburg
• Alexander Robert Ligeza, PA-C
• Kara Janelle Lightbourne, PMHNP-BC
• Laura Lynn Linhart, RN
• Link Hospice LLC
• Link Pharmacy LLC
• Justin Alan Linker, DC
• Elizabeth Linnane, LPC
• Lionheart Exposure Therapy, PLLC

• Specialist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.