Active NPI
Arlene T Heynen, MSW LISW
- Social Worker
- Orange City, IA
National Provider Identifier
1982606901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LISW #02586
- Practice address
- 400 Central Ave NW Ste 300
Suite 103
Orange City, IA 51041-1332 - Phone
- (712) 737-2635
- Fax
- (712) 737-2344
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- 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 | LISW #02586 | IA | Primary |
Addresses
Primary practice location
400 Central Ave NW Ste 300
Suite 103
Orange City, IA 51041-1332
Mailing address
400 S Sycamore Ave Ste 105-3
Suite 103
Sioux Falls, SD 57110-1255
Phone (605) 334-3739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363864095 | Medicaid | IA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISW #02586 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1982606901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S SYCAMORE AVE STE 105-3",
"address_2": "SUITE 103",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571101255",
"telephone_number": "605-334-3739",
"fax_number": "605-334-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE NW STE 300",
"address_2": "SUITE 103",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411332",
"telephone_number": "712-737-2635",
"fax_number": "712-737-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYNEN",
"first_name": "ARLENE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "LISW #02586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363864095",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.