Heidi M Heinen, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3454 Issued in ND

Practice address

1010 2ND Ave S
Box 3106
Fargo, ND 58103-8226

Phone

(701) 241-5765

Fax

(701) 241-5775

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1295890184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581083106",
            "telephone_number": "701-241-5765",
            "fax_number": "701-241-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE S",
            "address_2": "BOX 3106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038226",
            "telephone_number": "701-241-5765",
            "fax_number": "701-241-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "HEIDI",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3454",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Joy Heick, LCSW
• Eric Heiden
• Josi Heidlebaugh
• Kathryn J Heim, LPCC
• Halli Heimbuch, MS, RDN, LRD
• Leah Heinen, PA-C
• Teri Heinen, OTR/L
• Emily J Heinrich, OD
• Tricia Roseann Heinrich, RN
• Elizabeth Ann Heintz

• Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.