Active NPI
Heidi Maria Muntjanoff, LCSW
- Clinical Social Worker
- Sycamore, IL
National Provider Identifier
1841379823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 920 W Prairie Dr
Suite F
Sycamore, IL 60178-3123 - Phone
- (815) 899-0501
- Fax
- (815) 899-2098
- NPI assigned
- Nov 2, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
920 W Prairie Dr
Suite F
Sycamore, IL 60178-3123
Mailing address
623 N 1St St Apt 2
Dekalb, IL 60115-3155
Phone (815) 756-2648
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishwaukee Community Hospital | Past | Accepting new patients | |
| Timothy Tronc Counseling & Consulting LLC | Clinical | Past | Accepting new patients |
| Kishwaukee Community Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1881758126
-
dba Associates In Counseling
- Clinical Psychologist
- Sycamore, IL
- NPI 1649310913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841379823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 N 1ST ST APT 2",
"city": "DEKALB",
"state": "IL",
"postal_code": "601153155",
"telephone_number": "815-756-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W PRAIRIE DR",
"address_2": "SUITE F",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783123",
"telephone_number": "815-899-0501",
"fax_number": "815-899-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNTJANOFF",
"first_name": "HEIDI",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.