NPIMap

Individual provider Active NPI

Raymond D Heim, LCSWC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1679732986
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14096 Issued in MD
Practice address
9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595
Phone
(410) 290-6432
Fax
(410) 290-6604
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 14096 MD Primary

Addresses

Primary practice location

9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595

Mailing address

9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595
Phone (410) 290-6432

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

State licenses

LicenseStateTypeSpecialty
14096MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sttar Center Inc Clinical Past Accepting new patients
Kennedy Krieger Children's Hospital, Inc. 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, 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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1679732986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 PATUXENT WOODS DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461595",
            "telephone_number": "410-290-6432",
            "fax_number": "410-290-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 PATUXENT WOODS DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461595",
            "telephone_number": "410-290-6432",
            "fax_number": "410-290-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "RAYMOND",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.