Heather Lynn Prociuk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1140 State Road 540a
Lakeland, FL 33813-3734

Phone

(863) 608-0583

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Better Together Marriage and Family Counseling Services, LLC

  • Clinical Social Worker
  • Lakeland, FL
  • NPI 1164153953
  NPD Authorized official

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1003190703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 WILLIAMSBURG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034279",
            "telephone_number": "863-225-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 STATE ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133734",
            "telephone_number": "863-608-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCIUK",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duvern Primus Sr.
• Catherine Ann Principe, PSY.D.
• Robert Michael Prisbe, DDS
• Pro2Call Medical Transport
• Pro2Call Medical Transport
• Prodigia Counseling & Wellness, LLC
• Professional Healing Services LLC
• Professional Hearing Care Center
• Abigail K Prosise
• Prosperity Homecare Solutions LLC

• Clinical Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.