Heartland Clinic

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33005046A Issued in IN

Legal business name

HEARTLAND CLINIC

Practice address

2201 Ferry St
Lafayette, IN 47904-3047

Phone

(765) 446-9898

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Susannah Leigh Devault, MSW, LSW

Title

Therapist

Phone

(765) 446-9898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790849610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 FERRY ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043047",
            "telephone_number": "765-446-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 FERRY ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043047",
            "telephone_number": "765-446-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVAULT",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "765-446-9898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33005046A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Brooke Hayworth, PTA
• Tamara Loewen Hazbun, MD
• Lauren Ashley Hazel, OTR/L
• Vicki Jo Hazlewood
• Lori Heald
• Heartland Clinic, Inc.
• Allison Heaslip, OD
• Jessica Heathcote, RPH
• Megan C Hebdon, FNP
• Katie Hedden, RBT

• Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.