Active NPI
Steve C Heffernan, LMSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1972790509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069939
- Practice address
- 46 Lincoln Ave
Poughkeepsie, NY 12601-4518 - Phone
- (845) 452-2372
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 069939 | NY | Primary |
Addresses
Primary practice location
46 Lincoln Ave
Poughkeepsie, NY 12601-4518
Mailing address
18 Mack Rd
Poughkeepsie, NY 12603-2714
Phone (845) 452-2372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069939 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1972790509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MACK RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032714",
"telephone_number": "845-452-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 LINCOLN AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014518",
"telephone_number": "845-452-2372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFERNAN",
"first_name": "STEVE",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.