Jerald L Mahlau-Heinert

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1030265 Issued in MA

Practice address

70 Westover Ave SW
Bolling Afb, DC 20032-7432

Phone

(757) 818-4008

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1205030012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WESTOVER AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327432",
            "telephone_number": "757-818-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTOVER AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327432",
            "telephone_number": "757-818-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLAU-HEINERT",
        "first_name": "JERALD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1030265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Koch, WHNP, RNC
• Philip Allan La Kier, M.D.
• Vienna Lawrence
• Emma Tinsley-Bowles Long, LCSW
• Amy Lynn, APRN, DNP, WHNP-BC
• Tyanna Marquez
• Margaret Barnes Matarese, M.D.
• Mark Edward Mavity, MD, MPH
• William Gary Meyer, M.D.
• Katherine R. Morgnti IV, D.D.S., M.P.H.

• Social Worker in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.