Ann Bridget Healy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012059 Issued in IL

Practice address

682 W Boughton Rd
Unit D
Bolingbrook, IL 60440-5700

Phone

(630) 771-0144

Fax

(630) 771-9520

NPI assigned

Apr 5, 2010

Last updated

Apr 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1124343991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD",
            "address_2": "UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405700",
            "telephone_number": "630-771-0144",
            "fax_number": "630-771-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD",
            "address_2": "UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405700",
            "telephone_number": "630-771-0144",
            "fax_number": "630-771-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "ANN",
        "middle_name": "BRIDGET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gwen Heifner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.