Noel Widholm, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013968 Issued in IL

Practice address

1655 N Arlington Heights Rd
Suite 102 E
Arlington Heights, IL 60004-3982

Phone

(847) 259-8583

NPI assigned

Mar 26, 2015

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

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Willow Wellness Center, PLLCGroup PAC ID 0941275267, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rodasi LLC

  dba Ardent Center

  • Mental Health Counselor
  • Hoffman Estates, IL
  • NPI 1467691790

  Clinical

  Medicare reassignment Care Compare group NPD
• Stillwater Therapy PLLC

  • Clinical Social Worker
  • Palatine, IL
  • NPI 1972388676
  Medicare reassignment NPD Authorized official
• Willow Wellness Center, PLLC

  • Adult Mental Health Clinic/Center
  • Park Ridge, IL
  • NPI 1154437739
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1881088912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 S HARVARD DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677028",
            "telephone_number": "847-496-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 102 E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-259-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDHOLM",
        "first_name": "NOEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Whitaker, DC
• Dannette White
• Loren White, M.D.
• Wade Lawrence Whittier, DC
• Letitia Wideikis
• Margaret Wierzbicki
• James Bennett Wiese, D.D.S.
• Kelly M. Wika, ATC
• Kamila Maria Wiklanski, PT, DPT
• Amy J Wilder, LCSW

• Clinical Social Worker in Arlington Heights, IL
• Providers in Arlington Heights, 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 Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.