Kirsten M Heitkamp, LCSW – Clinical Social Worker

Key facts

NPI: 1356985162
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 34008640A (IN)
Practice address: 325 S Oak St
Winchester, IN 47394-2244
Phone: (765) 584-1735
Fax: (765) 584-5407
NPI assigned: Nov 5, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Centerstone of Indiana, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IN · NPI 1972320224

NPD
Centerstone of Indiana, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IN · NPI 1992781470

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Centerstone of Indiana, Inc.		Current since Feb 4, 2020	Accepting new patients
Centerstone of Indiana, Inc.		Current since Feb 4, 2020	Accepting new patients

Locations

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

325 S Oak St
Ste 103
Winchester, IN 47394
Phone (765) 584-1735

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	34008640A	IN	Yes

Addresses

Primary practice location

325 S Oak St
Winchester, IN 47394-2244

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other names

Kirsten M Eberle Former name

Other providers in Winchester, IN

All providers in Winchester, IN · Clinical Social Worker in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.