Heidi Starks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C8556 Issued in MS

Practice address

213 Hospital Rd E
Philadelphia, MS 39350-2119

Phone

(601) 663-1210

Fax

(601) 663-1211

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heidi Marie Houston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1306379011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD E",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502119",
            "telephone_number": "601-663-1210",
            "fax_number": "601-663-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD E",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502119",
            "telephone_number": "601-663-1210",
            "fax_number": "601-663-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS LICENSE #",
            "identifier": "C8556",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HOUSTON",
            "middle_name": "MARIE",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.