Individual provider Active NPI

Elisabeth Christina Heij, MSW,LSW

  • Clinical Social Worker
  • Milford, PA
National Provider Identifier
1457629826
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW 017850 Issued in PA
Practice address
104 Wycoff LN
Milford, PA 18337-5109
Phone
(570) 228-1485
NPI assigned
Dec 13, 2011
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW 017850 PA Primary

Addresses

Primary practice location

104 Wycoff LN
Milford, PA 18337-5109

Mailing address

104 Wycoff LN
Milford, PA 18337-5109
Phone (570) 228-1485

Other names 1

  • Elizabeth Christina Heij Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230000697 ME Practitioner - Clinical Social Worker 8224441738 Practice locations: Rockland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Purchase St
Rockland, ME 04841-2732
Phone (570) 228-1485

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW 017850PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1457629826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WYCOFF LN",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183375109",
            "telephone_number": "570-228-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WYCOFF LN",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183375109",
            "telephone_number": "570-228-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIJ",
        "first_name": "ELISABETH",
        "middle_name": "CHRISTINA",
        "credential": "MSW,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW 017850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HEIJ",
            "middle_name": "CHRISTINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milford, PA

Sources for this page

Verify at the official NPI Registry.