Christina Heimsoth, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0005422 Issued in OH

Practice address

8302 Yellowbrick Rd
Mentor, OH 44060-4960

Phone

(440) 667-8109

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1487610648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 ROCKING HORSE TRL",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440946815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 YELLOWBRICK RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604960",
            "telephone_number": "440-667-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMSOTH",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jon Headley, OTR/L, CHT
• Healthspan Integrated Care
• Healthspan Physicians, LLC (HealthSpan Physicians - Mentor)
• Healthy Solutions MD, LLC
• Heartland of Mentor Oh, LLC (ProMedica Skilled Nursing and Rehabilitation (Mentor))
• William Hein, DO
• Brian P. Heinz, LPCC
• Daryl Heiser
• Helping Hands Caring Heart Homecare
• Denzel Henderson

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.