Individual provider Active NPI

Cassandra Coleman-Heppler, LICSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1982937348
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60231336 Issued in WA
Practice address
202 E Anton Ave
Ste 206
Coeur D Alene, ID 83815-3727
Phone
(208) 667-6095
Fax
(208) 667-6173
NPI assigned
Sep 16, 2009
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMSW-25735 ID
Clinical Social Worker 1041C0700X LCSW31144 ID
Clinical Social Worker 1041C0700X LW60231336 WA Primary

Addresses

Primary practice location

202 E Anton Ave
Ste 206
Coeur D Alene, ID 83815-3727

Mailing address

12128 N Division St # 441
Spokane, WA 99218-1905
Phone (509) 990-6560

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

LicenseStateTypeSpecialty
LMSW-25735IDMDMental Health Counselor
LCSW31144IDMDClinical Social Worker
LW60231336WAMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1982937348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 N DIVISION ST # 441",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181905",
            "telephone_number": "509-990-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E ANTON AVE",
            "address_2": "STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838153727",
            "telephone_number": "208-667-6095",
            "fax_number": "208-667-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-HEPPLER",
        "first_name": "CASSANDRA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-25735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW31144",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60231336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.