Heidi Brockstein

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

378 Park Ave Ste 2a
Glencoe, IL 60022-2700

Phone

(847) 363-0414

NPI assigned

Jul 27, 2017

Last updated

Aug 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1942724323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 LINDEN AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152153",
            "telephone_number": "18473630414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 PARK AVE STE 2A",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600222700",
            "telephone_number": "847-363-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKSTEIN",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bendix, RD
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• Darrell David Brayboy, L.AC.
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• Clinical Social Worker in Glencoe, IL
• Providers in Glencoe, 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 Aug 10, 2017; 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.