Active NPI
Emily A Heineke, LCSW
- Clinical Social Worker
- Vincennes, IN
National Provider Identifier
1356333264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003681A
- Practice address
- 121 Buntin St
Vincennes, IN 47591-1320 - Phone
- (812) 885-2718
- Fax
- (812) 885-2727
- NPI assigned
- Aug 17, 2005
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003681A | IN | Primary |
Addresses
Primary practice location
121 Buntin St
Vincennes, IN 47591-1320
Mailing address
515 Bayou St
Vincennes, IN 47591-1034
Phone (812) 886-6800
Other practice location 1
1901 Willow St
Vincennes, IN 47591-4277
Phone (812) 885-2720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000188279 | Other | IN | ANTHEM |
| 401644 | Other | IN | MHN |
Other names 1
- Emily Heineke Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003681A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1356333264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BAYOU ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911034",
"telephone_number": "812-886-6800",
"fax_number": "812-886-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BUNTIN ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911320",
"telephone_number": "812-885-2718",
"fax_number": "812-885-2727"
}
],
"practiceLocations": [
{
"address_1": "1901 Willow St",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475914277",
"country_code": "US",
"telephone_number": "812-885-2720",
"fax_number": "812-885-2723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINEKE",
"first_name": "EMILY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003681A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000188279",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "401644",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SMITH",
"middle_name": "HEINEKE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.