Individual provider Active NPI

Heidi Behrendt, MSW, LICSW

  • Clinical Social Worker
  • Franconia, NH
National Provider Identifier
1023656584
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0134243 Issued in VT
Practice address
461 Main St Ste 7
Franconia, NH 03580-4836
Phone
(026) 735-9718
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134243 VT Primary

Addresses

Primary practice location

461 Main St Ste 7
Franconia, NH 03580-4836

Mailing address

1796 Main St Apt 1
Bethlehem, NH 03574-4743
Phone (802) 673-5971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200207001703 VT Practitioner - Clinical Social Worker 2466888516 Reassigns benefits to 1 organization
I20210505000326 NH Practitioner - Clinical Social Worker 2466888516 Reassigns benefits to 1 organization
Practice locations: Franconia, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

461 Main St
Suite 6C
Franconia, NH 03580-4836
Phone (802) 673-5971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0134243VTMDClinical Social Worker
2502NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 1, 2021 Accepting new patients
Northeast Kingdom Human Services Inc CurrentSince Jun 14, 2020 Accepting new patients

Locations

3 Executive Park Dr
Ste 250
Bedford, NH 03110

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Interoperability endpoints

  • Direct secure messaging: heidibehrendt@achs.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1023656584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 MAIN ST APT 1",
            "city": "BETHLEHEM",
            "state": "NH",
            "postal_code": "035744743",
            "telephone_number": "802-673-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 MAIN ST STE 7",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035804836",
            "telephone_number": "026-735-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENDT",
        "first_name": "HEIDI",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franconia, NH

Sources for this page

Verify at the official NPI Registry.