Individual provider Active NPI

Patricia Gail Heigert, L.C.S.W

  • Clinical Social Worker
  • Libertyville, IL
National Provider Identifier
1750552279
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.004459 Issued in IL
Practice address
31480 N US Highway 45
Libertyville, IL 60048-9444
Phone
(847) 680-2715
Fax
(847) 680-3832
NPI assigned
Mar 13, 2008
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 150.004459 IL Primary

Addresses

Primary practice location

31480 N US Highway 45
Libertyville, IL 60048-9444

Mailing address

31480 N US Highway 45
Libertyville, IL 60048-9444
Phone (847) 680-2715

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
I20150311001045 IL Practitioner - Clinical Social Worker 4284950197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Connection IncGroup PAC ID 8628033008, 9 clinicians

Practice addresses (Care Compare)

900 Technology Way
Suite 320
Libertyville, IL 60048-5364
Phone 8476802715221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.004459ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connection Inc. Clinical CurrentSince Mar 10, 2015 Accepting new patients
Barrington Behavioral Health & Wellness PC CurrentSince May 9, 2015 Accepting new patients

Locations

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

31480 N US Highway 45
Libertyville, IL 60048
Phone (847) 234-8541

900 Technology Way
Ste 320
Libertyville, IL 60048
Phone (847) 680-2715

3 W Hawthorn Pkwy
Ste 120
Vernon Hills, IL 60061
Phone (847) 680-2715

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1750552279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIGERT",
        "first_name": "PATRICIA",
        "middle_name": "GAIL",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.004459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.