Erich Hugo Heintzen IV, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1300 W Belmont Ave
Suite 400E
Chicago, IL 60657-3200

Phone

(773) 880-1310

Fax

(773) 880-1321

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Summit Psychotherapy

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1215572649
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871623330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 N WAYNE AVE",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603467",
            "telephone_number": "773-612-6206",
            "fax_number": "773-880-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 400E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-880-1310",
            "fax_number": "773-880-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZEN",
        "first_name": "ERICH",
        "middle_name": "HUGO",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "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": []
}

• Scott Heinrich, M.D.
• Yvonne R Heins, PHD
• Sarah Heinss, LPC
• Nicole Victoria Heintz, M.C.D., CCC-SLP
• Stephen Heintz, LPC
• Ashley Marie Heinz, FNP-C
• Bradley Heinz
• Marissa Lynn Heinz, PT
• Rachel Elizabeth Heinz
• Sue Ann Heironimus

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• 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.

Verify at the official NPI Registry.