Kevin-Barry Heaney, LCSW/CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R24613-1 Issued in NY

Practice address

230 W 107TH St Apt 2C
New York, NY 10025-3041

Phone

(212) 749-4453

Fax

(212) 523-8057

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1679749527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 107TH ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253041",
            "telephone_number": "212-749-4453",
            "fax_number": "212-523-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 107TH ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253041",
            "telephone_number": "212-749-4453",
            "fax_number": "212-523-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "KEVIN-BARRY",
        "name_prefix": "Mr.",
        "credential": "LCSW/CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R24613-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Odabashian Healy, M.D.
• Tracey Lynn Healy, PNP
• Tyler Healy, MD
• Julia Heaney, CF-SLP
• Kevin Michael Heaney, DDS
• Megan Elizabeth Heanue, LMSW
• Kristen Heaphy, FNP
• Hear & See Right Inc
• Gavin Thomas Heard
• John Owsley Heard

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.