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Contact Information

NEIL C HEADMAN, PHD, LCSW
2534 FARRAGUT DR STE 2
SPRINGFIELD, IL62704
 Phone: 217-953-4660
 Fax: 888-972-6419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for NEIL C HEADMAN · (Male)

NPI Number 1407058415
Status Active
Credentials PHD, LCSW
Entity Individual
Enumeration date 06/01/2007
Last updated 09/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149.011848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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