Jennifer L Heintzman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007534 Issued in NC

Practice address

708 S Chestnut St
Gastonia, NC 28054-4548

Phone

(704) 865-3525

NPI assigned

Jun 15, 2007

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1053516526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S COLLEGE ST",
            "address_2": "UNIT 2114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036263",
            "telephone_number": "219-487-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S CHESTNUT ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544548",
            "telephone_number": "704-865-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZMAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005832A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Campbell Heckel, MD
• Phillip Hefner
• Krisztina Hegedus, LCSWA
• Frances E Heilig
• Sharon Louise Heinrich, NP
• Jeremy Heller, PHARMD
• Brenda Chillcott Helms, FNP-BC
• Helping Hands With Care LLC
• Kara Houston Helton, RN
• Elsie Agurs Henderson, LCAS-A

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, 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 Aug 30, 2012; 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.