Provider Demographics
NPI:1962496158
Name:HECKMAN, JAMES CURTIS (LISW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CURTIS
Last Name:HECKMAN
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3736 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3523
Mailing Address - Country:US
Mailing Address - Phone:614-262-1181
Mailing Address - Fax:614-262-4939
Practice Address - Street 1:3736 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3523
Practice Address - Country:US
Practice Address - Phone:614-262-1181
Practice Address - Fax:614-262-4939
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI24031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHESW01981Medicare ID - Type Unspecified