NPIMap

Organization Active NPI

Megan Heitzman Lisw, LC

  • Clinical Social Worker
  • Coralville, IA
National Provider Identifier
1720402530
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MEGAN HEITZMAN LISW, LC
Practice address
1150 5TH St Ste 155
Coralville, IA 52241-2913
Phone
(319) 338-2044
NPI assigned
Feb 13, 2014
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Megan Heitzman, LISWNPI 1811051501
Title
Owner/Therapist
Phone
(319) 338-2044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1150 5TH St Ste 155
Coralville, IA 52241-2913

Mailing address

1150 5TH St Ste 155
Coralville, IA 52241-2913

National Provider Directory

National Provider Directory

Locations

1150 5th St
Ste 155
Coralville, IA 52241
Phone (319) 338-2044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1720402530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 155",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 155",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412913",
            "telephone_number": "319-338-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN HEITZMAN LISW, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "HEITZMAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "319-338-2044",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.