Active NPI
Shahalonie Herman
- Clinical Social Worker
- Machesney Park, IL
National Provider Identifier
1659724995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149027354
- Practice address
- 1205 W Lane Rd
Machesney Park, IL 61115-1625 - Phone
- (815) 469-1500
- NPI assigned
- Jul 21, 2016
- Last updated
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | ||
| Clinical Social Worker | 1041C0700X | 149027354 | IL | Primary |
Addresses
Primary practice location
1205 W Lane Rd
Machesney Park, IL 61115-1625
Mailing address
4624 Ravine Dr
Loves Park, IL 61111-6930
Phone (815) 904-1327
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
766 N Walden Dr
Palatine, IL 60067-8641
Phone (847) 602-8023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149027354 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alberto Minzer and Associates LLC | Current | Accepting new patients | |
| Pioneer Center for Human Services | Past | Accepting new patients | |
| Westside Childrens Therapy | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Counselor
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- NPI 1780334060
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Poplar Grove, IL
- NPI 1902252075
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Marengo, IL
- NPI 1477928752
-
- Physical Therapist
- Joliet, IL
- NPI 1972783900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1659724995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 RAVINE DR",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611116930",
"telephone_number": "815-904-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W LANE RD",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151625",
"telephone_number": "815-469-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "SHAHALONIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149027354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Machesney Park, IL
- Ashley A. Grover, DPT
- Harlem School Dist 122
- Brad Lyn Hartwig, PA-C
- Healthstat on-Site Clinic/Parker Hannifin Rockford
- Yingsu Her, D.C.
- Christian Daniel Hernandez, OD
- Highland Park CVS LLC (CVS Pharmacy)
- Highland Park CVS LLC (CVS Pharmacy #16922)
- Bailey Marie Hinrichs, DPT
- Carol Buckley Huffman, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.