Individual provider Active NPI

Heather Elizabeth Ranneklev, LCSW

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1609638287
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025826 Issued in IL
Practice address
2272 95TH St Ste 305
Naperville, IL 60564-8944
Phone
(630) 753-9800
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 149.025826 IL Primary

Addresses

Primary practice location

2272 95TH St Ste 305
Naperville, IL 60564-8944

Mailing address

1219 Hollingswood Ave
Naperville, IL 60564-5149
Phone (630) 846-0302

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
I20240327001893 IL Practitioner - Clinical Social Worker 2365889227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Modify PCGroup PAC ID 8628355963, 7 clinicians

Practice addresses (Care Compare)

2272 95TH St
Suite 305
Naperville, IL 60564-8944
Phone (630) 753-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025826ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modify, P.C. CurrentSince Feb 22, 2024 Accepting new patients

Locations

2244 95th St
Ste 301
Naperville, IL 60564
Phone (630) 753-9800

2272 95th St
Ste 305
Naperville, IL 60564
Phone (630) 753-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1609638287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 HOLLINGSWOOD AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645149",
            "telephone_number": "630-846-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 95TH ST STE 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648944",
            "telephone_number": "630-753-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANNEKLEV",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.