Individual provider Active NPI

Sheree Smith-Heisey, MSW, LCSW

  • Clinical Social Worker
  • Phoenixville, PA
National Provider Identifier
1053963553
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020556 Issued in PA
Practice address
104 Peter Dehaven Dr
Phoenixville, PA 19460-4716
Phone
(610) 580-9662
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020556 PA Primary

Addresses

Primary practice location

104 Peter Dehaven Dr
Phoenixville, PA 19460-4716

Mailing address

104 Peter Dehaven Dr
Phoenixville, PA 19460-4716
Phone (610) 580-9662

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW020556PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1053963553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PETER DEHAVEN DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604716",
            "telephone_number": "610-580-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PETER DEHAVEN DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604716",
            "telephone_number": "610-580-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HEISEY",
        "first_name": "SHEREE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.