Individual provider Active NPI

Elizabeth A Heil, L.I.S.W.

  • Social Worker
  • Dubuque, IA
National Provider Identifier
1285697623
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
02464 Issued in IA
Practice address
2728 Asbury Rd
Suite777
Dubuque, IA 52001-2971
Phone
(563) 556-9642
Fax
(563) 557-5030
NPI assigned
Apr 7, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 02464 IA Primary

Addresses

Primary practice location

2728 Asbury Rd
Suite777
Dubuque, IA 52001-2971

Mailing address

2728 Asbury Rd
Suite777
Dubuque, IA 52001-2971
Phone (563) 556-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060413000163 IA Practitioner - Clinical Social Worker 9830108265 Practice locations: Dubuque, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2728 Asbury Rd
Suite 777
Dubuque, IA 52001-2970
Phone (563) 556-9642

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1285697623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ASBURY RD",
            "address_2": "SUITE777",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012971",
            "telephone_number": "563-556-9642",
            "fax_number": "563-557-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ASBURY RD",
            "address_2": "SUITE777",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012971",
            "telephone_number": "563-556-9642",
            "fax_number": "563-557-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.