Individual provider Active NPI

Emily S. Heim, MA, MSW, LPC, LCSW

  • Clinical Social Worker
  • Canonsburg, PA
National Provider Identifier
1790844231
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013355 Issued in PA
Practice address
1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982
Phone
(724) 884-0466
Fax
(724) 649-0039
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 1606 LA
Clinical Social Worker 1041C0700X CW013355 PA Primary
Professional Counselor 101YP2500X PC006403 PA

Addresses

Primary practice location

1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982

Mailing address

1200 Ashwood Dr Ste 1201
Canonsburg, PA 15317-4982
Phone (724) 884-0466

Other identifiers 9

IdentifierTypeStateIssuer
395502OtherPAMHN
093655OtherPATRICARE
120060MedicaidPA
203054OtherPAUPMC
368680OtherPABC/BS HIGHMARK
2668179OtherPAUNITED HEALTHCARE MPIN
62474378OtherPAMULTIPLAN
11613707OtherPACIGNA
5448648OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100622000533 PA Practitioner - Clinical Social Worker 8921139890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy Associates, IncGroup PAC ID 4082745948, 6 clinicians

Practice addresses (Care Compare)

1200 Ashwood Dr
Suite 1201
Canonsburg, PA 15317-4982
Phone (724) 884-0466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 1606LAMDProfessional Counselor
PC006403PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates, Inc. CurrentSince Apr 1, 2010 Accepting new patients

Locations

1195 Washington Pike
Bridgeville, PA 15017

1200 Ashwood Dr
Ste 1201
Canonsburg, PA 15317
Phone (724) 884-0466

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1790844231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR STE 1201",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466",
            "fax_number": "724-649-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR STE 1201",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466",
            "fax_number": "724-649-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "EMILY",
        "middle_name": "S.",
        "credential": "MA, MSW, LPC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LPC 1606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013355",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "395502",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "093655",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120060",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "203054",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HIGHMARK",
            "identifier": "368680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MPIN",
            "identifier": "2668179",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "62474378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "11613707",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5448648",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.