Timothy Hederman

Clinical Social Worker · Deerfield, IL

Individual Active NPI

NPI number 1114710977

Practice location

770 Lake Cook Rd Ste 200
Deerfield, IL 60015-4920
Phone
(847) 607-9662

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NPI record

NPI
1114710977
Entity type
Individual (Type 1)
Enumeration date
May 26, 2025
Last updated
May 26, 2025
Certified
May 25, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

About Timothy Hederman

Timothy Hederman is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 770 Lake Cook Rd Ste 200, Deerfield, IL 60015-4920. The NPI number 1114710977 was assigned on May 26, 2025 and the record was last updated on May 26, 2025.

Frequently asked questions

What is the NPI number of Timothy Hederman?

The NPI number is 1114710977.

What is the phone number of Timothy Hederman?

The phone number listed for the practice location is (847) 607-9662.

Where is Timothy Hederman located?

770 Lake Cook Rd Ste 200, Deerfield, IL 60015-4920.

What is the taxonomy code for Timothy Hederman?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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