Individual provider Active NPI

Elexes Hetzel, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1336745629
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021366 Issued in IL
Practice address
2655 Warrenvile Rd.
Suite 500
Downers Grove, IL 60515
Phone
(855) 692-7040
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC11007 IL
Clinical Social Worker 1041C0700X 149021366 IL Primary

Addresses

Primary practice location

2655 Warrenvile Rd.
Suite 500
Downers Grove, IL 60515

Mailing address

245 N Bissell Dr
Palatine, IL 60074-5513
Phone (847) 917-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, WI, MO, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210521000034 IL Practitioner - Clinical Social Worker 7719386887 Reassigns benefits to 2 organizations
I20250203000818 IA Practitioner - Clinical Social Worker 7719386887 Reassigns benefits to 2 organizations
I20250206003019 WI Practitioner - Clinical Social Worker 7719386887 Reassigns benefits to 2 organizations
I20260311004282 MO Practitioner - Clinical Social Worker 7719386887 Reassigns benefits to 1 organization
I20260513003883 MI Practitioner - Clinical Social Worker 7719386887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149021366ILMDClinical Social Worker
LC11007ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Jun 24, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 20, 2023 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Jun 24, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 24, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

1433 N Water St
Ste 400
Milwaukee, WI 53202
Phone (414) 289-7154

Organizations & group practices 4

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1336745629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N BISSELL DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745513",
            "telephone_number": "847-917-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WARRENVILE RD.",
            "address_2": "SUITE 500",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "855-692-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZEL",
        "first_name": "ELEXES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "LC11007",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.