Elizabeth A Haeffele, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020256 Issued in IL

Practice address

2306 Woodoak Cir
Round Lake Beach, IL 60073-4144

Phone

(815) 353-5621

NPI assigned

Apr 23, 2013

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth A Vinik Former name

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clocktower Psychological Associates LTDGroup PAC ID 5991885675, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clocktower Psychological Associates, LTD.

  • Psychologist
  • Lake Zurich, IL
  • NPI 1629257829
  Medicare reassignment Care Compare group NPD
• August Horizons Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Lake Beach, IL
  • NPI 1841907524
  NPD Authorized official
• Advanced Psychiatry of Elgin

  • Behavior Analyst
  • Elgin, IL
  • NPI 1588069306

  Clinical

  NPD (past)
• Pioneer Center for Human Services

  • Mental Illness Community Based Residential Treatment Facility
  • McHenry, IL
  • NPI 1437430048
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1558705343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 WOODOAK CIR",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734144",
            "telephone_number": "815-353-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 WOODOAK CIR",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734144",
            "telephone_number": "815-353-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Golfview Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600471210",
            "country_code": "US",
            "telephone_number": "847-726-2400 x5",
            "fax_number": "847-726-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAEFFELE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VINIK",
            "middle_name": "A",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Healing Hand Therapeutics, LLC

• Clinical Social Worker in Round Lake Beach, IL
• Providers in Round Lake Beach, 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 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.