Individual provider Active NPI

Heidi Kaminski, MSW, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1013363415
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW15436 Issued in AZ
Practice address
7747 W Deer Valley Rd Ste 255
Peoria, AZ 85382-2124
Phone
(602) 316-5155
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW15436 AZ Primary

Addresses

Primary practice location

7747 W Deer Valley Rd Ste 255
Peoria, AZ 85382-2124

Mailing address

6627 W Caribbean LN
Glendale, AZ 85306-3161
Phone (602) 316-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW15436AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health Care, PLLC Current Accepting new patients

Locations

15396 N 83rd Ave
Ste G103
Peoria, AZ 85381
Phone (602) 354-0259

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1013363415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6627 W CARIBBEAN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063161",
            "telephone_number": "602-316-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 W DEER VALLEY RD STE 255",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822124",
            "telephone_number": "602-316-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "HEIDI",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW15436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.