Organization Active NPI

Healing Sands Corp

  • Clinical Social Worker
  • Plainfield, IN
National Provider Identifier
1053866053
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004881A Issued in IN
Legal business name
HEALING SANDS CORP
Practice address
2680 E Main St
Plainfield, IN 46168-2825
Phone
(812) 345-5321
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Amanda L Trenta, LCSWNPI 1801861687
Title
Owner
Phone
(812) 345-5321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34004881A IN Primary

Addresses

Primary practice location

2680 E Main St
Plainfield, IN 46168-2825

Mailing address

4980 W Gifford Rd
Bloomington, IN 47403-9266
Phone (812) 345-5321

National Provider Directory

National Provider Directory

Locations

2680 E Main St
Plainfield, IN 46168
Phone (317) 581-2292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1053866053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 W GIFFORD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474039266",
            "telephone_number": "812-345-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682825",
            "telephone_number": "812-345-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SANDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "TRENTA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-345-5321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004881A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.