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General NPI Number Information
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NPI Number | 1891241287
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Entity Type | Organization
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Legal Business Name | HEIDI NAUMOWICZ, LCSW, LLC
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 11603 S IL ROUTE 47 STE E
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City | HUNTLEY
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State | IL
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Zip | 60142-2512
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Country | US
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Telephone | 847-287-6416
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Fax | 847-984-9334
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Provider Business Mailing Address
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Address Line | 11603 S IL ROUTE 47 STE E
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City | HUNTLEY
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State | IL
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Zip | 60142-2512
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Country | US
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Telephone | 847-287-6416
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Fax | 847-984-9334
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEIDI JANE LEICHT NAUMOWICZ
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Credential | MSW, LCSW
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Telephone | 847-287-6416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.008934
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License Number State | IL
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