Organization Active NPI

The Center for Somatic Healing

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1083177877
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Kristin Sheikh, LCSWNPI 1043626989
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.