Julie Hetherington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013772 Issued in IL

Practice address

5083 Switch Grass LN
Naperville, IL 60564-5368

Phone

(630) 362-3045

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Kantor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Berrien Mental Health Authority

  • Psychiatry Physician
  • Saint Joseph, MI
  • NPI 1508801465
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1497239776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600020856",
            "telephone_number": "847-903-5604",
            "fax_number": "224-788-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5083 SWITCH GRASS LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645368",
            "telephone_number": "630-362-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KANTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen R. Hertzberg, D.D.S., M.S.
• Jean Hess, ED.D.
• Stephen Paul Hess, LCPC
• Jennifer A Hesser, MD
• Sarah Hester, MSED, BCBA
• Katherine Elizabeth Heuer, PT
• Steven Michael Heuertz, MA, LCSW
• Rebecca Schubel Heusner, M.S.-CCC-SLP
• Sheri Ann Hey
• Kathryn Hibler

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, 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 Oct 17, 2018; 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.