Kimberley B. Herzog, LISW-S
NPI 1134585441ActiveIndividual· Social Worker, Clinical· Peoria, IL
Social Worker, Clinical (LISW-S) in Peoria, Illinois, trained at Washington University School of Medicine (class of 2005). Medicare paid $2,825 for services to 13 patients in 2024.
Overview
| NPI | 1134585441 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-S |
| Sole proprietor | No |
| NPI issued | Jan 4, 2016 |
| Last updated in NPPES | Aug 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149021356 | IL |
| Counselor, Mental Health | 101YM0800X | I1501458S | OH |
| Social Worker | 104100000X | 149021356 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 47 across 4 procedure codes |
| Paid by Medicare | $2,825 |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Osf Multi-Specialty GroupMorton, IL · 2,114 clinicians
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All 169 clinical social workers in Peoria · All clinical social workers in Illinois