Active NPI
Robert W Healy, LSW
- Social Worker
- Aurora, IL
National Provider Identifier
1134778152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.103896
- Practice address
- 1325 N Highland Ave
Aurora, IL 60506-1449 - Phone
- (630) 801-2633
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.103896 | IL | Primary |
Addresses
Primary practice location
1325 N Highland Ave
Aurora, IL 60506-1449
Mailing address
16217 S McGrath Dr
Plainfield, IL 60586-9043
Phone (630) 740-8841
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.103896 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1134778152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16217 S MCGRATH DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605869043",
"telephone_number": "630-740-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061449",
"telephone_number": "630-801-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.103896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.