Individual provider Active NPI

Kimberly Keer Heyman, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1508115635
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19460 Issued in CA
Practice address
520 S Sepulveda Blvd
Suite 305
Los Angeles, CA 90049-3521
Phone
(310) 560-6691
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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 LCS19460 CA Primary

Addresses

Primary practice location

520 S Sepulveda Blvd
Suite 305
Los Angeles, CA 90049-3521

Mailing address

13351 Riverside Dr
# 157
Sherman Oaks, CA 91423-2542
Phone (310) 560-6691

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

State licenses

LicenseStateTypeSpecialty
LCS19460CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1508115635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 RIVERSIDE DR",
            "address_2": "# 157",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232542",
            "telephone_number": "310-560-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SEPULVEDA BLVD",
            "address_2": "SUITE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493521",
            "telephone_number": "310-560-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYMAN",
        "first_name": "KIMBERLY",
        "middle_name": "KEER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.