NPIMap

Individual provider Active NPI

Dianna Heimstadt, LCSW

  • Clinical Social Worker
  • McKinleyville, CA
National Provider Identifier
1487998027
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99229 Issued in CA
Practice address
1560 Betty CT Ste a
McKinleyville, CA 95519-4178
Phone
(707) 839-1933
Fax
(707) 839-1726
NPI assigned
Nov 20, 2012
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 99229 CA Primary

Addresses

Primary practice location

1560 Betty CT Ste a
McKinleyville, CA 95519-4178

Mailing address

1560 Betty CT Ste a
McKinleyville, CA 95519-4178
Phone (707) 839-1933

Other practice location 1

1100 California St
Eureka, CA 95501-1621
Phone (707) 443-8322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapist1@twofeathers-nafs.org Direct Two Feathers Native American Family Services

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

Practice roles

OrganizationSpecialtyStatusNew patients
Two Feathers Native American Family Services Current Accepting new patients
Redwood Community Action Agency Past Accepting new patients
Two Feathers Native American Family Services PastSince Mar 4, 2021 Accepting new patients

Locations

1560 Betty Ct
Ste A
McKinleyville, CA 95519
Phone (707) 498-5062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1487998027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-839-1933",
            "fax_number": "707-839-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-839-1933",
            "fax_number": "707-839-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 California St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011621",
            "country_code": "US",
            "telephone_number": "707-443-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMSTADT",
        "first_name": "DIANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapist1@twofeathers-nafs.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Two Feathers Native American Family Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1560 Betty Ct Ste A",
            "city": "McKinleyville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955194178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.