Individual provider Active NPI

Jessica Creighton Heinfeld, LMSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1770095531
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102113 Issued in CA
Practice address
7260 Hillside Ave Unit 208
Los Angeles, CA 90046-2379
Phone
(817) 793-6255
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 64402 TX
Clinical Social Worker 1041C0700X 102113 CA Primary

Addresses

Primary practice location

7260 Hillside Ave Unit 208
Los Angeles, CA 90046-2379

Mailing address

7260 Hillside Ave Unit 208
Los Angeles, CA 90046-2379
Phone (817) 793-6255

Other practice location 1

5015 S Ih 35
Austin, TX 78744-2713
Phone (512) 804-3979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64402TXMDSocial Worker
102113CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1770095531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 HILLSIDE AVE UNIT 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462379",
            "telephone_number": "817-793-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 HILLSIDE AVE UNIT 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462379",
            "telephone_number": "817-793-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5015 S Ih 35",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787442713",
            "country_code": "US",
            "telephone_number": "512-804-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINFELD",
        "first_name": "JESSICA",
        "middle_name": "CREIGHTON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "64402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.