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DR. NEIL C. HEADMAN PHD, LCSW
NPI 1407058415
Social Worker - Clinical in Springfield, IL

Active since June 01, 2007Opted out of Medicare · through Jan 20, 2028
2534 FARRAGUT DR STE 2, SPRINGFIELD, IL 62704(217) 953-4660(888) 972-6419 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Neil C. Headman Phd, Lcsw NPPES

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

DR. NEIL C. HEADMAN PHD, LCSW (NPI 1407058415) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149.011848) and active in the NPI registry since June 2007. He has opted out of Medicare through January 20, 2028 and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1407058415
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. NEIL C. HEADMANCredential: PHD, LCSW
Location Address2534 FARRAGUT DR STE 2Springfield, IL 62704
Mailing Address2534 Farragut Dr Ste 2Springfield, IL 62704-1466 · (217) 953-4660 · Fax (888) 972-6419
Phone(217) 953-4660
Fax(888) 972-6419
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateSeptember 9, 2019
✔ NPI 1407058415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.011848
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.
2534 FARRAGUT DR STE 2, Springfield, IL 62704
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Secondary Practice Location 1

Location 1975 S Durkin DrSpringfield, IL 62704-1386 · Phone (217) 494-7546

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Neil C. Headman Phd, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2020 through January 20, 2028.

Opt-Out Effective DateJanuary 20, 2020
Opt-Out In Effect ThroughJanuary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

KATHERINE ROMANG LCSW
Social Worker (Clinical)
2534 FARRAGUT DR STE 2
SPRINGFIELD, IL 62704
Sangamon County (217) 953-4660
WELLSPRING COUNSELING, LLC
Social Worker (Clinical)
2534 FARRAGUT DR STE 2
SPRINGFIELD, IL 62704
Sangamon County (217) 953-4660
RACHEL EILEEN OMMEN MSW, LSW
Social Worker
2534 FARRAGUT DR STE 2
SPRINGFIELD, IL 62704
Sangamon County (217) 953-4660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neil Headman's NPI number?

The NPI number for Neil Headman is 1407058415. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Neil Headman located?

Neil Headman practices at 2534 Farragut Dr Ste 2, Springfield, IL 62704. The listed phone number is (217) 953-4660.

What is Neil Headman's specialty?

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

Is Neil Headman enrolled in Medicare?

No. Neil Headman has opted out of Medicare through January 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Neil Headman was last updated on September 9, 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.