Christian Chabrand Heaton, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304197 Issued in OH

Practice address

2400 Hospital Rd
BLDG 3 RM 102
Tuskegee, AL 36083-5001

Phone

(334) 727-0550

Fax

(334) 725-2776

NPI assigned

Aug 21, 2018

Last updated

Jan 12, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lys/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Youth Services Inc.

  dba Lighthouse Youth & Family Services

  • Addiction (Substance Use Disorder) Counselor
  • Bainbridge, OH
  • NPI 1053389841
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1932680667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL RD",
            "address_2": "BLDG 3 RM 102",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360835001",
            "telephone_number": "334-727-0550",
            "fax_number": "334-725-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL RD",
            "address_2": "BLDG 3 RM 102",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360835001",
            "telephone_number": "334-727-0550",
            "fax_number": "334-725-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Tong Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "OH",
            "postal_code": "456121500",
            "country_code": "US",
            "telephone_number": "740-634-3094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Saint Charles Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454103147",
            "country_code": "US",
            "telephone_number": "937-586-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E McMillan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061922",
            "country_code": "US",
            "telephone_number": "513-221-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATON",
        "first_name": "CHRISTIAN",
        "middle_name": "CHABRAND",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304197",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2004937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Harrison, MSW
• Ashia Harvest, LMSW
• Haynes Ambulance of Macon County LLC
• Takisha Haynes, LCSW
• Health First of Alabama Medical PC
• Charlie Henderson
• Lillie Spears Hicks, RD
• Cynthia Michelle Hightower, CLINICAL PHARMACIST
• Cynthia L Hobdy, MSW
• Ernest A Holland, RPH, MPA

• Clinical Social Worker in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.