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Contact Information

HEIDI MCCARDELL WENTWORTH, LCPC, NCC, BC-DMT
1010 JORIE BLVD STE 366
OAK BROOK, IL60523-4476
 Phone: 630-849-4350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Counselor

101Y00000X
 

Dance Therapist

225600000X
Indicates primary specialty

NPI Profile & details for HEIDI MCCARDELL WENTWORTH · (Female)

NPI Number 1225321052
Status Active
Credentials LCPC, NCC, BC-DMT
Entity Individual
Enumeration date 05/26/2011
Last updated 04/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 258132
  • IL License # 1203
  • IL License # 180010625
  • IL Other 1346402302 BLUE CROSS BLUE SHIELD
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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