Individual provider Active NPI

Laura Ann Heitland, MSW-LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1669675328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00621 Issued in IA
Practice address
819 5TH St SE
Cedar Rapids, IA 52401-2128
Phone
(877) 453-2775
Fax
(319) 398-3577
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

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
Clinical Social Worker 1041C0700X 00621 IA Primary

Addresses

Primary practice location

819 5TH St SE
Cedar Rapids, IA 52401-2128

Mailing address

510 Arlington Dr
Marshalltown, IA 50158-4311
Phone (641) 753-0802

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons, a Family Service Alliance PastSince Jul 1, 2005 Accepting new patients
Horizons, a Family Service Alliance Past Accepting new patients

Organizations & group practices 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669675328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ARLINGTON DR",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584311",
            "telephone_number": "641-753-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 5TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012128",
            "telephone_number": "877-453-2775",
            "fax_number": "319-398-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITLAND",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW-LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

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.