Individual provider Active NPI

Robert G Heckler, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1699746586
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904 Issued in KS
Practice address
200 Maine St
Ste a
Lawrence, KS 66044-1368
Phone
(785) 843-9192
Fax
(785) 843-6744
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 0904 KS Primary

Addresses

Primary practice location

200 Maine St
Ste a
Lawrence, KS 66044-1368

Mailing address

200 Maine St
Ste a
Lawrence, KS 66044-1368
Phone (785) 843-9192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000972 KS Practitioner - Clinical Social Worker 2961694989 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 SW 6TH Ave
Suite 203
Topeka, KS 66603-3850
Phone (785) 760-3912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Drexburke Inc. Clinical Past Accepting new patients
Advanced Behavioral Health Care, Chartered Clinical 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1699746586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST",
            "address_2": "STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST",
            "address_2": "STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKLER",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.