Individual provider Active NPI

Theresa Hefner, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1528706090
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024229 Issued in IL
Practice address
5151 Mochel Dr Ste 304
Downers Grove, IL 60515-5078
Phone
(630) 343-9396
NPI assigned
May 24, 2022
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 149024229 IL Primary

Addresses

Primary practice location

5151 Mochel Dr Ste 304
Downers Grove, IL 60515-5078

Mailing address

5151 Mochel Dr Ste 304
Downers Grove, IL 60515-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230208001083 IL Practitioner - Clinical Social Worker 8921470535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emh Dupage PLLCGroup PAC ID 0941687487, 7 clinicians

Practice addresses (Care Compare)

5151 Mochel Dr
Suite 304
Downers Grove, IL 60515-5078
Phone (630) 324-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149024229ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Dupage PLLC CurrentSince Oct 27, 2022 Accepting new patients

Locations

5151 Mochel Dr
Ste 304
Downers Grove, IL 60515
Phone (630) 324-4663

1000 Jorie Blvd
Ste 228
Oak Brook, IL 60523
Phone (630) 283-2950

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1528706090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MOCHEL DR STE 304",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MOCHEL DR STE 304",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155078",
            "telephone_number": "630-343-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-05-09",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.