Amy Dawn Heinz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005317 Issued in NC

Practice address

Wounded Warrior Battalion BLDG PP3
VA Liaison for Healthcare RM 143
Camp Lejeune, NC 28542

Phone

(910) 528-6603

Fax

(910) 450-7177

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Amy Dawn Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1003051590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOUNDED WARRIOR BATTALION BLDG PP3",
            "address_2": "VA LIAISION FOR HEALTHCARE RM 143",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28542",
            "telephone_number": "910-528-6603",
            "fax_number": "910-450-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOUNDED WARRIOR BATTALION BLDG PP3",
            "address_2": "VA LIAISON FOR HEALTHCARE RM 143",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28542",
            "telephone_number": "910-528-6603",
            "fax_number": "910-450-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FOX",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Ryan Head, PHYSICIAN ASSISTANT
• Hannah Maria Heair, DDS
• Kelley Heck, PHARMD
• Rick Wallace Heckert, PHARMACIST
• Justin Beryl Hefley, CRNA
• Carsten Daniel Helvie, DMD
• Robin Henderson-Logan, PHD
• Jeffrey Henderson
• William McKeever James Henley, LCSW
• Lance Raymond Henninger, M.D.

• Clinical Social Worker in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.