Individual provider Active NPI

Heather Srncik

  • Clinical Social Worker
  • Fishers, IN
National Provider Identifier
1447632864
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007720A Issued in IN
Practice address
11 Municipal Dr Ste 200
Fishers, IN 46038-1634
Phone
(317) 648-9295
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33007041A IN
Clinical Social Worker 1041C0700X 34007720A IN Primary

Addresses

Primary practice location

11 Municipal Dr Ste 200
Fishers, IN 46038-1634

Mailing address

11 Municipal Dr Ste 200
Fishers, IN 46038-1634
Phone (317) 648-9295

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33007041AINMDSocial Worker
34007720AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Srncik, LCSW LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

9783 E 116th St
Fishers, IN 46037
Phone (317) 537-7222

11 Municipal Dr
Ste 200
Fishers, IN 46038
Phone (317) 663-0683

1481 W 10th St
#122
Indianapolis, IN 46202
Phone (317) 988-2578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1447632864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "317-648-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "317-648-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRNCIK",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33007041A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007720A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.