Individual provider Active NPI

Heidi Jane Leicht Naumowicz, LCSW

  • Clinical Social Worker
  • Huntley, IL
National Provider Identifier
1740518778
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008937 Issued in IL
Practice address
11603 S Il Route 47 Ste E
Huntley, IL 60142-2512
Phone
(847) 287-6416
Fax
(847) 984-9334
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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 149.008937 IL Primary

Addresses

Primary practice location

11603 S Il Route 47 Ste E
Huntley, IL 60142-2512

Mailing address

11603 S Il Route 47 Ste E
Huntley, IL 60142-2512
Phone (847) 287-6416

Other identifiers 1

IdentifierTypeStateIssuer
12056560OtherILCAQH

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
I20101118000620 IL Practitioner - Clinical Social Worker 1850587726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11603 S Il Route 47
Suite E
Huntley, IL 60142-2512
Phone (847) 287-6416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.008937ILMDClinical Social Worker

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1740518778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "847-287-6416",
            "fax_number": "847-984-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "847-287-6416",
            "fax_number": "847-984-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMOWICZ",
        "first_name": "HEIDI",
        "middle_name": "JANE LEICHT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12056560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.