Mark Austin Heine, L.C.S.W., P.P.S.C.

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

29603 Issued in CA

Practice address

11645 Ridge Rd
Grass Valley, CA 95945-5024

Phone

(530) 273-4431

Fax

(530) 271-5943

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1457483919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 RIDGE RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455024",
            "telephone_number": "530-273-4431",
            "fax_number": "530-274-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 RIDGE RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455024",
            "telephone_number": "530-273-4431",
            "fax_number": "530-271-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINE",
        "first_name": "MARK",
        "middle_name": "AUSTIN",
        "credential": "L.C.S.W., P.P.S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29603",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "29603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Haugen
• Christian Hauptman
• Charlene A Hauser, MD
• Lynn Hawkins
• Michael Joseph Heggarty
• Akasha McMillan Heinzig
• Robert Lewis Heirendt, LCSW
• Heisman LLC
• Scarlett Helbock, PT, DPT
• Carol Marie Heller

• School Social Worker in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.