Heidi Ann Foster-Johnson, L.I.S.W.
Individual provider Active NPI Clinical Social Worker · Edgerton, OH
NPI 1023201498 · NPPES record last updated Apr 22, 2009
Key facts
- NPI
- 1023201498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-8140 (OH)
- Practice address
- 328 W Vine St
Edgerton, OH 43517-9600 - Phone
- (419) 298-2321
- Fax
- (419) 298-2512
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-8140 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of NW Ohio | Past |
Accepting new patients | |
| Family Service of Northwest Ohio | Past |
Accepting new patients | |
| Family Service of Northwest Ohio | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-8140 | OH | Yes |
Addresses
Primary practice location
328 W Vine St
Edgerton, OH 43517-9600
Mailing address
328 W Vine St
Edgerton, OH 43517-9600
Phone (419) 298-2321
NPI Registry JSON
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1023201498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 W VINE ST",
"city": "EDGERTON",
"state": "OH",
"postal_code": "435179600",
"telephone_number": "419-298-2321",
"fax_number": "419-298-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 W VINE ST",
"city": "EDGERTON",
"state": "OH",
"postal_code": "435179600",
"telephone_number": "419-298-2321",
"fax_number": "419-298-2512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER-JOHNSON",
"first_name": "HEIDI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.I.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-8140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgerton, OH
- John Stanley Casbere
- Community Memorial Hospital
- Dream Haven LLC
- Edgerton Local SD
- Edgerton Long Term Care, Inc.
- Rebecca Dee Hand
- Patricia Hartman
- Richard Lowell Hurley
- Cynthia Lynn Jones
- Karrie A La Londe
All providers in Edgerton, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.