Geraldine Lee Heckart, LSCSW LCSW
Individual provider Active NPI Clinical Social Worker · Bonner Springs, KS
NPI 1679616973 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679616973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW 1782 (KS)
- Practice address
- 134 N 130TH St
#C Sunny Days Clinical Services
Bonner Springs, KS 66012 - Phone
- (913) 522-5140
- Fax
- (913) 721-1399
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 1782 | KS | MD | Clinical Social Worker |
| LCSW 2003020619 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Responsive Management Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW 1782 | KS | Yes |
| Clinical Social Worker | 1041C0700X | LCSW 2003020619 | MO |
Addresses
Primary practice location
134 N 130TH St
#C Sunny Days Clinical Services
Bonner Springs, KS 66012
Mailing address
134 N 130TH Street
#C
Bonner Springs, KS 66012
Phone (913) 522-5140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29105 | Medicaid | KS |
Other providers in Bonner Springs, KS
- Rachel Gress
- Stephanie Gripka
- Christina Carolyn Gull
- Happy Hearts Working Incorporated
- William E Hartman
- Ashley Henson
- Braden Hiltzman
- Jesica Hines
- Gillian M Hinrichs
- Horizon Eyecare, P.a.
All providers in Bonner Springs, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.