KATHRYN HAEFFNER (LCSW) – Clinical Social Worker, NPI 1235535899
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,510 CLINICAL SOCIAL WORKER in IL
Provider Addresses for KATHRYN HAEFFNER (LCSW)
111 N COUNTY FARM RD
WHEATON, IL 601873977
Phone: (630) 682-7400
Fax: (630) 510-5422
Type: Mailing
1845 GRANDSTAND PL
ELGIN, IL 601236603
Phone: (847) 409-7293
Fax: (833) 493-3246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141209000247 | I | Clinical Social Worker | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 35 | 32 | $0 |
Insurance plans in this area (ZIP 60187)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| P S Y C H I A T R Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL |
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