Individual provider Active NPI

Louise Teri Heeman, LCSW

  • School Social Worker
  • Gilbert, AZ
National Provider Identifier
1558437822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LCSW-1185 Issued in AZ
Practice address
175 W Elliot Rd
Gilbert, AZ 85233-5446
Phone
(480) 892-8624
Fax
(480) 813-7284
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LCSW-1185 AZ Primary

Addresses

Primary practice location

175 W Elliot Rd
Gilbert, AZ 85233-5446

Mailing address

175 W Elliot Rd
Gilbert, AZ 85233-5446
Phone (480) 892-8624

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
LCSW-1185AZMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558437822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335446",
            "telephone_number": "480-892-8624",
            "fax_number": "480-813-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335446",
            "telephone_number": "480-892-8624",
            "fax_number": "480-813-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEMAN",
        "first_name": "LOUISE",
        "middle_name": "TERI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AZ",
            "license": "LCSW-1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.