Provider Demographics
NPI:1891241287
Name:HEIDI NAUMOWICZ, LCSW, LLC
Entity Type:Organization
Organization Name:HEIDI NAUMOWICZ, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:JANE LEICHT
Authorized Official - Last Name:NAUMOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:847-287-6416
Mailing Address - Street 1:11603 S IL ROUTE 47 STE E
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-2512
Mailing Address - Country:US
Mailing Address - Phone:847-287-6416
Mailing Address - Fax:847-984-9334
Practice Address - Street 1:11603 S IL ROUTE 47 STE E
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-2512
Practice Address - Country:US
Practice Address - Phone:847-287-6416
Practice Address - Fax:847-984-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0089341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty