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SIMONE HERBERT LCSW
NPI 1497340707
Social Worker in Champaign, IL

Active since March 08, 2021PECOS Enrolled
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855(217) 365-2856 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simone Herbert Lcsw NPPES

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

SIMONE HERBERT LCSW (NPI 1497340707) is an individual social worker in Champaign, Illinois, licensed in Illinois (149022932) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497340707
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSIMONE HERBERTCredential: LCSW
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park St, FapcUrbana, IL 61801
Phone(217) 365-2855
Fax(217) 365-2856
Sole ProprietorNo
Enumeration DateMarch 8, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1497340707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 149022932
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1802 S MATTIS AVE, Champaign, IL 61821
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone Herbert Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1220
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
KRISTINE S ANDERSON PA
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-3260
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
AMANDA GAUGLER
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MS. LISA ANNETTE ELLINGWOOD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

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 Simone Herbert's NPI number?

The NPI number for Simone Herbert is 1497340707. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Simone Herbert located?

Simone Herbert practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-2855.

What is Simone Herbert's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Simone Herbert enrolled in Medicare?

Yes. Simone Herbert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simone Herbert was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.