MISS KIMBERLEY B HERZOG LISW-S
NPI 1134585441
Social Worker - Clinical in Peoria, IL

Q: What is Kimberley Herzog's NPI number?

The NPI number for Kimberley Herzog is 1134585441. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Q: What is Kimberley Herzog's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberley Herzog was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment

5111 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 683-5700(309) 683-5752 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Kimberley B Herzog Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KIMBERLEY B HERZOG LISW-S (NPI 1134585441) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149021356) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2005).

NPPES Registry Identity

NPI1134585441

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS KIMBERLEY B HERZOGCredential: LISW-S

Location Address5111 N GLEN PARK PLACE RDPeoria, IL 61614-4675

Mailing Address5111 N Glen Park Place RdPeoria, IL 61614-4675 · (309) 683-5700 · Fax (309) 683-5752

Phone(309) 683-5700

Fax(309) 683-5752

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2005

Enumeration DateJanuary 4, 2016

Last NPPES UpdateAugust 12, 2019

✔ NPI 1134585441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149021356

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License I1501458S (OH)

Also ListedSocial WorkerTaxonomy 104100000X · License 149021356 (IL)

5111 N GLEN PARK PLACE RD, Peoria, IL 61614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kimberley B Herzog Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082917125

PECOS Enrollment IDI20190903000137

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN CADET-SAINTILUS M.D.

Family Medicine