Active NPI
The Center for Somatic Healing
- Clinical Social Worker
- Bloomington, IN
National Provider Identifier
1083177877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE CENTER FOR SOMATIC HEALING
- Practice address
- 820 W 17TH St Ste 4
Bloomington, IN 47404-3374 - Phone
- (812) 322-6714
- NPI assigned
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Sheikh, LCSW
- Title
- Owner
- Phone
- (812) 322-6714
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
820 W 17TH St Ste 4
Bloomington, IN 47404-3374
Mailing address
1456 S State Road 446
Bloomington, IN 47401-8800
Phone (812) 322-6714
Other practice location 1
1136 W 17th St Ste B
Bloomington, IN 47404-3000
Phone (812) 322-6714
National Provider Directory
National Provider DirectoryLocations
820 W 17th St
Ste 4
Bloomington, IN 47404
Phone (812) 322-6714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bloomington, IN
- NPI 1043626989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1083177877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 S STATE ROAD 446",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018800",
"telephone_number": "812-322-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W 17TH ST STE 4",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043374",
"telephone_number": "812-322-6714"
}
],
"practiceLocations": [
{
"address_1": "1136 W 17th St Ste B",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474043000",
"country_code": "US",
"telephone_number": "812-322-6714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CENTER FOR SOMATIC HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "SHEIKH",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-322-6714",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.