Thomas J Vanden Heuvel, LCSW, CEAP, SAC, SAP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7058-123 Issued in WI

Practice address

12012 W North Ave
Wauwatosa, WI 53226-2040

Phone

(262) 224-6468

NPI assigned

Oct 18, 2006

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770664344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 SAINT PATRICK CIR",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530279776",
            "telephone_number": "262-224-6468",
            "fax_number": "262-787-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262040",
            "telephone_number": "262-224-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N48W31340 Highway 83",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "WI",
            "postal_code": "530298500",
            "country_code": "US",
            "telephone_number": "262-224-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEN HEUVEL",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW, CEAP, SAC, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7058-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40955100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.