Individual provider Active NPI

Stephanie Lynn Heasman, LCSW

  • Clinical Social Worker
  • Bayville, NJ
National Provider Identifier
1265779607
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05832700 Issued in NJ
Practice address
47 N Island Rd
Bayville, NJ 08721-3579
Phone
(862) 432-6159
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 44SC05832700 NJ Primary

Addresses

Primary practice location

47 N Island Rd
Bayville, NJ 08721-3579

Mailing address

47 N Island Rd
Bayville, NJ 08721-3579
Phone (862) 432-6159

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheasman@childrens-specialized.org

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

LicenseStateTypeSpecialty
44SC05832700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanieheasman@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1265779607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N ISLAND RD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213579",
            "telephone_number": "862-432-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N ISLAND RD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213579",
            "telephone_number": "862-432-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASMAN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05832700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheasman@childrens-specialized.org",
            "affiliation": "N",
            "address_1": "368 Lakehurst Rd",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087557339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.