Organization Active NPI

Heidi Naumowicz, LCSW, LLC

  • Clinical Social Worker
  • Huntley, IL
National Provider Identifier
1891241287
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008934 Issued in IL
Legal business name
HEIDI NAUMOWICZ, LCSW, LLC
Practice address
11603 S Il Route 47 Ste E
Huntley, IL 60142-2512
Phone
(847) 287-6416
Fax
(847) 984-9334
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Mrs. Heidi Jane Leicht Naumowicz, MSW, LCSWNPI 1740518778
Title
Owner
Phone
(847) 287-6416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.008934 IL Primary

Addresses

Primary practice location

11603 S Il Route 47 Ste E
Huntley, IL 60142-2512

Mailing address

11603 S Il Route 47 Ste E
Huntley, IL 60142-2512
Phone (847) 287-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214002106 IL Part B Supplier - Clinic/Group Practice 1658619705 Receives reassigned benefits from 1 practitioner
Practice locations: Huntley, IL

National Provider Directory

National Provider Directory

Locations

11187 Dundee Rd
Ste 103
Huntley, IL 60142

11603 S Il Route 47
Ste E
Huntley, IL 60142
Phone (847) 287-6416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1891241287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "847-287-6416",
            "fax_number": "847-984-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "847-287-6416",
            "fax_number": "847-984-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI NAUMOWICZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "NAUMOWICZ",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "JANE LEICHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-287-6416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.