Organization Active NPI

Heather Srncik, LCSW LLC

  • Clinical Social Worker
  • Fishers, IN
National Provider Identifier
1104420090
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEATHER SRNCIK, LCSW LLC
Practice address
9783 E 116TH St # 199
Fishers, IN 46037-2822
Phone
(317) 648-9295
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Heather A Srncik, LCSWNPI 1447632864
Title
LCSW
Phone
(317) 648-9295

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 Primary

Addresses

Primary practice location

9783 E 116TH St # 199
Fishers, IN 46037-2822

Mailing address

9783 E 116TH St # 199
Fishers, IN 46037-2822
Phone (317) 648-9295

Other names 1

  • Set Sail Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1481 W 10th St
#122
Indianapolis, IN 46202
Phone (317) 988-2578

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1104420090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9783 E 116TH ST # 199",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460372822",
            "telephone_number": "317-648-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9783 E 116TH ST # 199",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460372822",
            "telephone_number": "317-648-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER SRNCIK, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "SRNCIK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "317-648-9295",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Set Sail Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Set Sail Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.