Individual provider Active NPI

Marcia Anne Heitz, LCSW

  • Clinical Social Worker
  • Cuba, IL
National Provider Identifier
1235482365
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009968 Issued in IL
Practice address
9706 E Sinnett Chapel Rd
Cuba, IL 61427-9469
Phone
(309) 338-3687
NPI assigned
Oct 26, 2012
Last updated
Jan 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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 149009968 IL Primary

Addresses

Primary practice location

9706 E Sinnett Chapel Rd
Cuba, IL 61427-9469

Mailing address

9706 E. Sinnett Chapel Rd.
Cuba, IL 61427
Phone (309) 338-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000594 IL Practitioner - Clinical Social Worker 1557508355 Practice locations: Canton, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 S Main St
Suite 204
Canton, IL 61520-2680
Phone (309) 338-3687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1235482365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 E. SINNETT CHAPEL RD.",
            "city": "CUBA",
            "state": "IL",
            "postal_code": "61427",
            "telephone_number": "309-338-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 E SINNETT CHAPEL RD",
            "city": "CUBA",
            "state": "IL",
            "postal_code": "614279469",
            "telephone_number": "309-338-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "MARCIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, IL

Sources for this page

Verify at the official NPI Registry.