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

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
I-8140OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of NW Ohio Past
since Jan 1, 1990
Accepting new patients
Family Service of Northwest Ohio Past
since Jan 1, 1990
Accepting new patients
Family Service of Northwest Ohio Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 22, 2009.

{
    "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

All providers in Edgerton, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.