Individual provider Active NPI

Zhane' Hedgeman, LSW

  • Social Worker
  • Olympia Fields, IL
National Provider Identifier
1114709094
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150111045 Issued in IL
Practice address
19900 Governors Dr Ste 300D
Olympia Fields, IL 60461-1059
Phone
(708) 855-0783
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150111045 IL Primary

Addresses

Primary practice location

19900 Governors Dr Ste 300D
Olympia Fields, IL 60461-1059

Mailing address

19900 Governors Dr Ste 300D
Olympia Fields, IL 60461-1059
Phone (708) 855-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150111045ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Lyfe PLLC PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1114709094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300D",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-855-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300D",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-855-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEMAN",
        "first_name": "ZHANE'",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150111045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.