Heidi S Eickemeyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW005189 Issued in MO

Practice address

10425 Old Olive Street Rd Ste 200
Saint Louis, MO 63141-5929

Phone

(314) 852-2470

NPI assigned

May 6, 2008

Last updated

May 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1053587444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 CHANDELLAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464803",
            "telephone_number": "314-852-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 OLD OLIVE STREET RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415929",
            "telephone_number": "314-852-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKEMEYER",
        "first_name": "HEIDI",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW005189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetiana Eichelberger
• Kurt M Eichholz, MD
• Stacey Eichholz
• Stefan D. Eichhorn, MD
• Jeanne Ross Eichler, MT, MOT, OTR/L, MT
• Kristine V Eickhoff, PHD
• Michaela Eickhoff, PHD
• Abdulmunaim Mahmoud Eid, MD
• Eidelman and Traub DDS,Inc
• Zamir Eidelman, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.