GWEN HEATON, MD (NPI# 1891825576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891825576 |
| Entity Type | Organization |
| Organization Name | GWEN HEATON, MD |
| Practice Address |
606 E Main St Madison IN 47250-4708 |
| Practice Telephone | 8122654151 |
| Practice Fax Number | 8122655028 |
| Mailing Telephone | 8122654151 |
| Mailing Fax Number | 8122655028 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GWEN HEATON (OWNER) |
| Authorized Official Telephone | 8122654151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | 34004330A | IN | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 33002012A | IN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
34001704A | IN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
34000171A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 35000998A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 35000907A | IN | Behavioral Health & Social Service Providers |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01035782 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
606 E MAIN ST |
| City | MADISON |
| State | IN |
| Zip Code | 47250-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558819474 | Kerri Lynn Fisher | Counselor | 606 E Main St, Madison, IN 47250-4708 | 2016-09-20 |
| 1578741484 | Dr. Howard C. Jackson, Inc. | Family Medicine | 606 E Main St, Madison, IN 47250-4708 | 2008-02-01 |
| 1780778985 | Anthony J Schroeder | Social Worker | 606 E Main St, Madison, IN 47250-4708 | 2006-10-03 |
| 1558468678 | Robert Lee Pimlott | Marriage & Family Therapist | 606 E Main St, Madison, IN 47250-4708 | 2006-09-20 |
| 1518064781 | Connie Thompson Chambers | Social Worker | 606 E Main St, Madison, IN 47250-4708 | 2006-09-20 |
| 1104923234 | Debora Elaine Willage | Psychologist | 606 E Main St, Madison, IN 47250-4708 | 2006-09-20 |
| 1396781399 | Richard Lewis Thayer Jr. | Psychologist | 606 E Main St, Madison, IN 47250-4708 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1780297572 | Qyonna I. Grady | Social Worker | 106 Cotton Boll Dr Nw, Madison, AL 35757-6948 | 2020-08-31 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1205452083 | Alisa Pratt | Social Worker | 607 W Due West Ave Ste 107, Madison, TN 37115-4420 | 2020-06-17 |
| 1336789288 | David Earl Bess | Social Worker | 8 Lynwood Pl, Madison, NJ 07940-1117 | 2020-01-08 |
| 1396396172 | Janeah Weaver | Social Worker | 255 N Main St Ste D, Madison, GA 30650-1390 | 2019-09-24 |
| 1205498961 | Kelsey Michele Huff | Social Worker | 1434 Florence Ave, Madison, TN 37115-2417 | 2019-07-02 |
| 1790345288 | Peter Edward Doria | Social Worker | 11 Woodland Rd Ste 2, Madison, CT 06443-2380 | 2019-06-17 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.