Stacey L Henken

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

999 Civic Center Drive
Third Floor
Niles, IL 60714

Phone

(847) 588-8460

NPI assigned

Apr 27, 2016

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1891140869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CIVIC CENTER DRIVE",
            "address_2": "THIRD FLOOR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CIVIC CENTER DRIVE",
            "address_2": "THIRD FLOOR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-588-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEN",
        "first_name": "STACEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chelsea Jane Heitz, CCC-SLP/L
• Carly Henreid, BS, M.ED, ED.S
• Samantha Lynn Herdegen, PHARMD
• Amy D. Herman, M.D
• Gail D Herman, M.D.
• Edward E Hernaez, MD

• Clinical Social Worker in Niles, IL
• Providers in Niles, 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 Apr 27, 2016; 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.