Active NPI
Andrea Neal Heinlein, LICSW
- Clinical Social Worker
- San Luis Obispo, CA
National Provider Identifier
1831666239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101188
- Practice address
- 55 S Tassajara Dr
San Luis Obispo, CA 93405-1559 - Phone
- (617) 833-7110
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101188 | MA | Primary |
Addresses
Primary practice location
55 S Tassajara Dr
San Luis Obispo, CA 93405-1559
Mailing address
55 S Tassajara Dr
San Luis Obispo, CA 93405-1559
Phone (617) 833-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101188-SW-LICSW | Other | MA | SOCIAL WORK LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101188 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1831666239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S TASSAJARA DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051559",
"telephone_number": "617-833-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S TASSAJARA DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051559",
"telephone_number": "617-833-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINLEIN",
"first_name": "ANDREA",
"middle_name": "NEAL",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "101188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "101188-SW-LICSW",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.