Active NPI
Heather De Vries
- Social Worker
- Media, PA
National Provider Identifier
1548673775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW130938
- Practice address
- 1223 N Providence Rd
Media, PA 19063-1235 - Phone
- (215) 609-5841
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130938 | PA | Primary |
Addresses
Primary practice location
1223 N Providence Rd
Media, PA 19063-1235
Mailing address
1223 N Providence Rd
Media, PA 19063-1235
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW130938 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1548673775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631235",
"telephone_number": "215-609-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VRIES",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
- Laura Ellen Davidson
- Zoe Davidson
- Alexis Davis, RBT
- Krystalyn T Davis
- Daya Healthcare Solutions, LLC (Home Away From Home Adult Daycenter)
- Mary M. Decaro, M.D.
- Del-Val Foot & Ankle P C (Verma Pontarelli Assoc)
- Janine Dela Cruz, BCBA, LBS, MA
- Delaware County Juvenile Detention Center Family Planning
- Delaware County Professional Services, Inc (LifeStance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.