Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Ronald Heaney, LCSWA

Individual provider Clinical Social Worker · NPI 1710718614

James Ronald Heaney, LCSWA is a Clinical Social Worker in Concord, North Carolina. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

284 Executive Park Dr
Concord, NC 28025-1831
Phone: (704) 939-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 134 W Matthews St, Matthews, NC 28105-1305 — (704) 708-4605
  • 200 W Matthews St, Matthews, NC 28105-5399 — (704) 708-4605

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PO21122 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P021122 (NC)

Record details

NPI number1710718614
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Concord