Active NPI
Shari Matthews Huizar, LCSW
- Clinical Social Worker
- Elgin, IL
National Provider Identifier
1932619806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.010483
- Practice address
- 164 Division St Ste 408
Elgin, IL 60120-5530 - Phone
- (224) 288-5976
- Fax
- (000) 000-0000
- NPI assigned
- Oct 5, 2017
- 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 | 149.010483 | IL | Primary |
Addresses
Primary practice location
164 Division St Ste 408
Elgin, IL 60120-5530
Mailing address
812 Bellevue Ave
Elgin, IL 60120-3002
Phone (847) 561-0126
Other practice location 1
812 Bellevue Ave
Elgin, IL 60120-3002
Phone (847) 561-0126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.010483 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1932619806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 BELLEVUE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601203002",
"telephone_number": "847-561-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 DIVISION ST STE 408",
"city": "ELGIN",
"state": "IL",
"postal_code": "601205530",
"telephone_number": "224-288-5976",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "812 Bellevue Ave",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601203002",
"country_code": "US",
"telephone_number": "847-561-0126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS HUIZAR",
"first_name": "SHARI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.010483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.