Active NPI
James L. Heagy, LCSW
- Social Worker
- Wheeling, WV
National Provider Identifier
1407915440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CP00938721
- Practice address
- 1025 Main Street
Wheeling, WV 26003 - Phone
- (304) 639-8140
- Fax
- (304) 232-0120
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CP00938721 | WV | Primary |
Addresses
Primary practice location
1025 Main Street
Wheeling, WV 26003
Mailing address
1025 Main St
Suite 315
Wheeling, WV 26003-2726
Phone (304) 639-8140
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005456001 | Medicaid | WV | |
| 001718897 | Other | WV | MSBCBS ID NUMBER |
| 2114778 | Other | WV | CIGNA ID NUMBER |
| Y938721 | Other | WV | HEALTH PLAN ID NUMBER |
| 484433000 | Other | WV | MAGELLAN MIS NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1407915440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAIN ST",
"address_2": "SUITE 315",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032726",
"telephone_number": "304-639-8140",
"fax_number": "304-232-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAIN STREET",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-639-8140",
"fax_number": "304-232-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAGY",
"first_name": "JAMES",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00938721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005456001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS ID NUMBER",
"identifier": "001718897",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID NUMBER",
"identifier": "2114778",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN ID NUMBER",
"identifier": "Y938721",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS NUMBER",
"identifier": "484433000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.