Khizra Saleem, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.115286 Issued in IL

Practice address

157 Hillside Dr
Bolingbrook, IL 60440-6144

Phone

(630) 991-8815

NPI assigned

Nov 30, 2024

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Psychiatry and Counseling, SC.Group PAC ID 1456353929, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advance Psychiatry & Counseling, SC.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1669563789
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1083430524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 HILLSIDE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HILLSIDE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406144",
            "telephone_number": "630-991-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "KHIZRA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.115286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moazzam Saeed, M.D.
• Sage House Counseling and Consulting
• Fatima Saifuddin, M.D
• Sarah Sajewski, PT, DPT
• Sally Salazar
• Scott M Sallin, PT
• Varsha Sambare, M.D.
• Nooshin Sanaei, DMD
• Paulina Sanchez-Santillan, MS CCC-SLP/L
• Ama Sanders, RN

• Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.