Individual provider Active NPI

Diana Heliotes, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1548747389
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006822 Issued in IL
Practice address
1560 N Sandburg Ter Apt 3102
Chicago, IL 60610-1345
Phone
(312) 388-3715
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 149006822 IL Primary

Addresses

Primary practice location

1560 N Sandburg Ter Apt 3102
Chicago, IL 60610-1345

Mailing address

1560 N Sandburg Ter Apt 3102
Chicago, IL 60610-1345
Phone (312) 388-3715

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
I20251125002625 IL Practitioner - Clinical Social Worker 9739671959 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1560 N Sandburg Ter
Apt 3102
Chicago, IL 60610-1345
Phone (312) 388-3715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006822ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1548747389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N SANDBURG TER APT 3102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101345",
            "telephone_number": "312-388-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N SANDBURG TER APT 3102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101345",
            "telephone_number": "312-388-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELIOTES",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.