Provider Demographics
NPI:1740518778
Name:NAUMOWICZ, HEIDI JANE LEICHT (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:JANE LEICHT
Last Name:NAUMOWICZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0089371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL12056560OtherCAQH