Individual provider Active NPI

William Joseph Heran, PH.D., LCSW

  • Clinical Social Worker
  • Haverford, PA
National Provider Identifier
1104187590
Registry record updated Jun 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016842 Issued in PA
Practice address
355 Lancaster Ave
BLDG. E, 2ND Floor
Haverford, PA 19041-1547
Phone
(215) 834-7979
NPI assigned
Jun 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2012

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 CW016842 PA Primary

Addresses

Primary practice location

355 Lancaster Ave
BLDG. E, 2ND Floor
Haverford, PA 19041-1547

Mailing address

6 Summit Dr
Bryn Mawr, PA 19010-2217
Phone (215) 834-7979

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW016842PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338595200000",
    "number": "1104187590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SUMMIT DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102217",
            "telephone_number": "215-834-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LANCASTER AVE",
            "address_2": "BLDG. E, 2ND FLOOR",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411547",
            "telephone_number": "215-834-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERAN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-02",
        "last_updated": "2012-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; 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.