Active NPI
Edwin James Heimer, LCSW
- Clinical Social Worker
- Cody, WY
National Provider Identifier
1982244851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-312
- Practice address
- 11 Bartlett LN
Cody, WY 82414-8861 - Phone
- (307) 272-1306
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- 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 | LCSW-312 | WY | Primary |
Addresses
Primary practice location
11 Bartlett LN
Cody, WY 82414-8861
Mailing address
11 Bartlett LN
Cody, WY 82414-8861
Phone (307) 272-1306
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 |
|---|---|---|---|
| LCSW-312 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1982244851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BARTLETT LN",
"city": "CODY",
"state": "WY",
"postal_code": "824148861",
"telephone_number": "307-272-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BARTLETT LN",
"city": "CODY",
"state": "WY",
"postal_code": "824148861",
"telephone_number": "307-272-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMER",
"first_name": "EDWIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
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- Sonja Marie Hein, PA-C
- Hematology Oncology Centers of the Northern Rockies PC
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- Sarah Hendrix
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.