Heidi Kristina Black, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0027921 Issued in OH

Practice address

431 Stow Ave
Cuyahoga Falls, OH 44221-2521

Phone

(330) 926-3800

Fax

(330) 920-1074

NPI assigned

Mar 11, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cuyahoga Falls City Schools

  • Local Education Agency (LEA)
  • Cuyahoga Falls, OH
  • NPI 1295988020
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1700202033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 STOW AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212521",
            "telephone_number": "330-926-3800",
            "fax_number": "330-920-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 STOW AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212521",
            "telephone_number": "330-926-3800",
            "fax_number": "330-920-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HEIDI",
        "middle_name": "KRISTINA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0027921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Suzanne Binnie
• Todd F Bischof, O.D.
• Troy W Bishop, MD
• Amy Bissell, ATC
• Jenny Bjork, LPCC, NCC
• Lateesha Black, BS, MBA
• Ross R Black II, MD
• Tamia Blackmon
• Charles Lee Blake, RPH
• Tara Blake, COTA/L

• Social Worker in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.