Erin Heintzelman, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60496242 Issued in WA

Practice address

8803 139TH Ave SE
Newcastle, WA 98059-3490

Phone

(425) 906-3859

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erin Heintzelman Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Newcastle, WA
  • NPI 1841885167
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1124631684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 139TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593490",
            "telephone_number": "802-355-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 139TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593490",
            "telephone_number": "425-906-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZELMAN",
        "first_name": "ERIN",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60496242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity J Garcia, LMP
• Geoffrey R Strange DDS PS
• Christopher L Gering, DPT
• Tiffany Ann Guenther, CD
• Brittany Rae-Lynn Hazzard, LMP
• Cori D Helt, LMP
• Amber Olivia Hickman, L.M.P.
• Perry Hicks, DPT
• Vy Hoang
• Khoi Trung Huynh

• All providers in Newcastle, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.