Individual provider Active NPI

Nathanael A Heifner, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1558255646
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011985A Issued in IN
Practice address
445 N Cross Pointe Blvd
Evansville, IN 47715-4010
Phone
(812) 471-4611
Fax
(812) 471-4514
NPI assigned
Jun 4, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 34011985A IN Primary

Addresses

Primary practice location

445 N Cross Pointe Blvd
Evansville, IN 47715-4010

Mailing address

PO Box 632281
Cincinnati, OH 45263-2281
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625000329 IN Practitioner - Clinical Social Worker 2466964598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

445 N Cross Pointe Blvd
Evansville, IN 47715-4013
Phone (812) 476-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011985AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital, Inc Clinical CurrentSince May 13, 2025 Accepting new patients
Deaconess Hospital Inc Clinical CurrentSince May 13, 2025 Accepting new patients

Locations

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

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": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1558255646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632281",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632281",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N CROSS POINTE BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154010",
            "telephone_number": "812-471-4611",
            "fax_number": "812-471-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFNER",
        "first_name": "NATHANAEL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011985A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.