Heidi Tompkins Conner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1022438 Issued in MA

Practice address

46 Forge Rd
Kingston, MA 02364-1091

Phone

(781) 582-1187

NPI assigned

Sep 30, 2018

Last updated

Mar 14, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 9, 2025 through Apr 9, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Heidi Conner Licsw LLC

  • Adult Mental Health Clinic/Center
  • Kingston, MA
  • NPI 1861171902
  Authorized official Same address or phone

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1013492586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FORGE RD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641091",
            "telephone_number": "781-582-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FORGE RD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641091",
            "telephone_number": "781-582-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "HEIDI",
        "middle_name": "TOMPKINS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cleary, RN
• Coastline Virtual Urgent Care, PLLC
• Thomas Cody, M.D.
• Robert John Collins, PTA
• Jennifer Connell, DPT
• Rachel Conner, PA-C
• Rachel Conner, RN
• Paul Couto
• Kelly Cunningham
• Brenna L. Curran, FNP

• Clinical Social Worker in Kingston, MA
• Providers in Kingston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.