Organization Active NPI

Hetzler & Associates

  • Clinical Social Worker
  • Quincy, IL
National Provider Identifier
1659933265
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HETZLER & ASSOCIATES
Practice address
523 S 8TH St
Quincy, IL 62301-4907
Phone
(217) 596-2809
Fax
(217) 666-4131
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Arlyss Clairice Hetzler, LCSWNPI 1740700038
Title
Owner
Phone
(217) 596-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

523 S 8TH St
Quincy, IL 62301-4907

Mailing address

523 S 8TH St
Quincy, IL 62301-4907
Phone (217) 596-2809

Other identifiers 1

IdentifierTypeStateIssuer
325465378001MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clairice@hetzlerassociates.com Direct

National Provider Directory

National Provider Directory

Locations

523 S 8th St
Quincy, IL 62301
Phone (217) 257-8262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1659933265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S 8TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014907",
            "telephone_number": "217-596-2809",
            "fax_number": "217-666-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S 8TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014907",
            "telephone_number": "217-596-2809",
            "fax_number": "217-666-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETZLER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "HETZLER",
        "authorized_official_first_name": "ARLYSS",
        "authorized_official_middle_name": "CLAIRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-596-2809",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325465378001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clairice@hetzlerassociates.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "523 S 8th St",
            "city": "Quincy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "623014907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.