Laurel Sue Haibeck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010108 Issued in IL

Practice address

135 N Greenleaf
204
Gurnee, IL 60031

Phone

(847) 404-2989

Fax

(847) 793-1202

NPI assigned

Jul 24, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1639334196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N. GREENLEAF",
            "address_2": "SUITE 204",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-404-2989",
            "fax_number": "847-793-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF",
            "address_2": "204",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-404-2989",
            "fax_number": "847-793-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIBECK",
        "first_name": "LAUREL",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurneectd LLC
• Deborah A. Gust, M.A.
• Alma Guzman, MD
• Ashley Hafertepe, APN
• Charla Aimee Hagel, PA-C
• Jonathan Allen Haigh, D.C.
• Hak Sung Chung MD PHD SC
• Bruce Hamming, MD
• David Hamming, MD
• Mark Hamming

• Clinical Social Worker in Gurnee, IL
• Providers in Gurnee, 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 Jul 17, 2009; 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.