Individual provider Active NPI

Heidi Kon, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1457871964
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005223 Issued in IL
Practice address
1125 Highland Ave
Oak Park, IL 60304-2209
Phone
(708) 705-8928
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149005223 IL Primary

Addresses

Primary practice location

1125 Highland Ave
Oak Park, IL 60304-2209

Mailing address

1125 Highland Ave
Oak Park, IL 60304-2209
Phone (708) 705-8928

Other practice location 1

1010 Lake St Ste 501A
Oak Park, IL 60301-1135
Phone (708) 705-8928

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
149005223ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457871964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HIGHLAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042209",
            "telephone_number": "708-705-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HIGHLAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042209",
            "telephone_number": "708-705-8928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Lake St Ste 501A",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011135",
            "country_code": "US",
            "telephone_number": "708-705-8928",
            "fax_number": "708-705-8928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KON",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.