Individual provider Active NPI

Shari Matthews Huizar, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1932619806
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010483 Issued in IL
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

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.010483ILMDClinical 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

Verify at the official NPI Registry.