Active NPI
Louis Heyward, SOCIAL WORKER
- Clinical Social Worker
- Fort Eustis, VA
National Provider Identifier
1124005194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25687
- Practice address
- Sternberg Avenue
Building 515
Fort Eustis, VA 23604 - Phone
- (757) 314-7910
- Fax
- (757) 314-7576
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25687 | NY | Primary |
Addresses
Primary practice location
Sternberg Avenue
Building 515
Fort Eustis, VA 23604
Mailing address
4 Black Oak CT
Hampton, VA 23666-1800
Phone (757) 826-1263
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25687 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1124005194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BLACK OAK CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661800",
"telephone_number": "757-826-1263",
"fax_number": "757-314-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STERNBERG AVENUE",
"address_2": "BUILDING 515",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "23604",
"telephone_number": "757-314-7910",
"fax_number": "757-314-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWARD",
"first_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "25687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.