Kimberly Hinzy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022183 Issued in IL

Practice address

1211 Sycamore Rd
Dekalb, IL 60115-2484

Phone

(815) 517-0825

NPI assigned

Jun 8, 2020

Last updated

Jun 8, 2020By 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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1275158016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 VON HOFF DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605108363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152484",
            "telephone_number": "815-517-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZY",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Park CVS LLC (CVS Pharmacy # 02375)
• Linda Hilderbrant, BSN, RN
• Arlilian Hill
• Laura Hill
• Onetha Hill
• Rockton William Hitt, MD
• Scott Hoff
• Michael S Hohlastos, D.O.
• Sharon Anne Hollister, M.A.
• Rachel Hook, PTA

• Clinical Social Worker in Dekalb, IL
• Providers in Dekalb, 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 Jun 8, 2020; 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.