Lee Ellen Heckerman, LSCSW is a
Social Worker - Clinical based in Fredonia, Kansas. Lee Ellen Heckerman is licensed to practice in Kansas (license number 1953) and her current practice location is
1900 E. Washington, Fredonia, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 378-3434.
NPI number for Lee Ellen Heckerman is 1215034269 and her current mailing address is 4909 Scott Rd, Neodesha, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215034269.
Healthcare Provider's Profile
| Full Name | Lee Ellen Heckerman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1900 E. Washington, Fredonia, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215034269
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Lee Ellen Heckerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215034269 | NPI | - | NPPES |
| 30004252460004 | Medicaid | KS | |
| 200740390C | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 1953 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lee Ellen Heckerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lee Ellen Heckerman, LSCSW 4909 Scott Rd, Neodesha, KS 66757-1694 Ph: (316) 619-1101 | Lee Ellen Heckerman, LSCSW 1900 E. Washington, Fredonia, KS 66063 Ph: (620) 378-3434 |
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