Heather Drake, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW #1453 Issued in KS

Practice address

5231 Aberdeen Rd
Fairway, KS 66205-1728

Phone

(913) 269-1748

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1497200968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 ABERDEEN RD",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662051728",
            "telephone_number": "913-269-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 ABERDEEN RD",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662051728",
            "telephone_number": "913-269-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "HEATHER",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "CRAADC #1476",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW #1453",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "LCSW #004458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brunette
• Mark A Bunde, O.D.
• Annette Carroll, LMSW
• Carrie Dial
• Mary Frances Donnelly
• Katherine E Dwyer, RD, LD, MS
• Jaime Coulson Eckrich, LCAC
• Fairway Eye Center, Inc
• Samantha Annette Fikru, FNP-C
• Mary Beth E Fisher, LCSW

• Clinical Social Worker in Fairway, KS
• Providers in Fairway, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.