IndividualActive
Andrea Herzog, MSW
NPI 1114071933 · Social Worker · Champaign, IL
Provider details
- NPI number
- 1114071933
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1801 Fox Dr
Champaign, IL 61820-7236
Phone: (217) 398-8080
Fax: (217) 398-0172
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Fox Dr
Champaign, IL 61820-7236
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.