Samantha Heller, MSW LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700055 Issued in OH

Practice address

521 Beall Ave
Wooster, OH 44691-3589

Phone

(330) 262-7836

Fax

(330) 262-2867

NPI assigned

Dec 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1669870994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-843-5544",
            "fax_number": "440-843-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836",
            "fax_number": "330-262-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "SAMANTHA",
        "credential": "MSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1451319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edwin Hegyi, D.O.
• Linda Heim, LICDC-CS
• Darell Heiselman, DO
• Crystal Heiser, LISW-S
• Emily Heller, SLP
• Sarai Heller
• Dennis Helmuth, MD
• Kathryn O Helmuth, M.D.
• Erica Kaye Hemming
• Aundrey J Hendershot

• Clinical Social Worker in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.