Active NPI
Heaven Shaman-Page, LSW
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1750149225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150112335
- Practice address
- 444 N Northwest Hwy Ste 207
Park Ridge, IL 60068-3292 - Phone
- (331) 240-0044
- NPI assigned
- Mar 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150112335 | Primary |
Addresses
Primary practice location
444 N Northwest Hwy Ste 207
Park Ridge, IL 60068-3292
Mailing address
117 S Cook St # 192
Barrington, IL 60010-4311
Phone (331) 240-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Speaks | Clinical | Current | Accepting new patients |
Locations
117 S Cook St
#192
Barrington, IL 60010
155 N Michigan Ave
Ste 9012
Chicago, IL 60601
222 E Wisconsin Ave
Ste 302
Lake Forest, IL 60045
444 N Northwest Hwy
Ste 207
Park Ridge, IL 60068
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.
-
- Clinical Social Worker
- Barrington, IL
- NPI 1396132601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1750149225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S COOK ST # 192",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104311",
"telephone_number": "331-240-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N NORTHWEST HWY STE 207",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683292",
"telephone_number": "331-240-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMAN-PAGE",
"first_name": "HEAVEN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "150112335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.