Individual provider Active NPI

Laurie Lynn Heikkenen, LICSW

  • Clinical Social Worker
  • Walla Walla, WA
National Provider Identifier
1497927636
Registry record updated Sep 29, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Aug 20, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008520 Issued in WA
Practice address
120 E Birch St Ste 9
Walla Walla, WA 99362-3054
Phone
(509) 527-8451
Fax
(509) 527-0942
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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 LW00008520 WA Primary

Addresses

Primary practice location

120 E Birch St Ste 9
Walla Walla, WA 99362-3054

Mailing address

120 E Birch St Ste 9
Walla Walla, WA 99362-3054
Phone (509) 527-8451

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LW00008520WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palouse Counseling Service, PLLC Clinical PastSince May 10, 2009 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1497927636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E BIRCH ST STE 9",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623054",
            "telephone_number": "509-527-8451",
            "fax_number": "509-527-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BIRCH ST STE 9",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623054",
            "telephone_number": "509-527-8451",
            "fax_number": "509-527-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKENEN",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.