Individual provider Active NPI

Marissa Heinz, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1710706197
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010610A Issued in IN
Practice address
9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817
Phone
(317) 550-7649
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 34010610A IN Primary

Addresses

Primary practice location

9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817

Mailing address

6025 Haverford Ave
Indianapolis, IN 46220-2007
Phone (317) 550-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250722002037 IN Practitioner - Clinical Social Worker 3173039682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irvington Counseling Collective IncGroup PAC ID 9931621554, 4 clinicians

Practice addresses (Care Compare)

203 Good Ave
Indianapolis, IN 46219-7210
Phone (317) 912-0096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010610AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irvington Counseling Collective Inc Clinical CurrentSince Jul 16, 2025 Accepting new patients
Irvington Counseling, LLC Clinical CurrentSince Jul 16, 2025 Accepting new patients

Locations

203 Good Ave
Indianapolis, IN 46219
Phone (317) 912-0096

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1710706197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 HAVERFORD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202007",
            "telephone_number": "317-550-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 N MERIDIAN ST STE C5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601817",
            "telephone_number": "317-550-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010610A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.