Individual provider Active NPI

Aminda A Heckman, PHD LCSW

  • Clinical Social Worker
  • Nanuet, NY
National Provider Identifier
1922690684
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075683 Issued in NY
Practice address
26 Timberline Dr
Nanuet, NY 10954-3809
Phone
(718) 300-6021
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05964500 NJ
Clinical Social Worker 1041C0700X 075683 NY Primary

Addresses

Primary practice location

26 Timberline Dr
Nanuet, NY 10954-3809

Mailing address

26 Timberline Dr
Nanuet, NY 10954-3809
Phone (718) 300-6021

Other practice location 1

99 Main St Ste 116
Nyack, NY 10960-3109
Phone (718) 300-6021

Other names 1

  • Dr. Aminda Heckman Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PEARLRIVER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC05964500NJMDClinical Social Worker
075683NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Constellations, LCSW, PLLC Clinical CurrentSince Feb 9, 2025 Accepting new patients

Locations

99 Main St
Ste 116
Nyack, NY 10960
Phone (718) 300-6021

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1922690684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TIMBERLINE DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543809",
            "telephone_number": "718-300-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TIMBERLINE DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543809",
            "telephone_number": "718-300-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Main St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109603109",
            "country_code": "US",
            "telephone_number": "718-300-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "AMINDA",
        "middle_name": "A",
        "credential": "PHD LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05964500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PEARLRIVER",
            "affiliation": "N",
            "address_1": "3 Sickletown Rd",
            "city": "Pearl River",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109652854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMINDA",
            "last_name": "HECKMAN",
            "prefix": "DR.",
            "credential": "PHD LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.