Gretchen Heideloff, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103109 Issued in OH

Practice address

5665 Hoover Rd
Grove City, OH 43123

Phone

(614) 935-9353

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1043727498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432133298",
            "telephone_number": "614-384-7798",
            "fax_number": "614-384-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "43123",
            "telephone_number": "614-935-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "43123",
            "country_code": "US",
            "telephone_number": "614-935-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4653 E Main St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "OH",
            "postal_code": "432133298",
            "country_code": "US",
            "telephone_number": "614-384-7798",
            "fax_number": "614-384-7703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 E Dublin Granville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293516",
            "country_code": "US",
            "telephone_number": "614-267-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDELOFF",
        "first_name": "GRETCHEN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043727498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean W. Hearne, M.D.
• Heartcare, Inc.
• Heaton Family Chiropractic, Inc.
• James J Heaton, DC
• Jeff C Hegedus
• Nicholas Helfferich, DO
• Sarah Hemker
• Jessica Ann Hemminger, M.D.
• Nancy A Henceroth-Gatto, D.O.
• Leetonya Henley

• Clinical Social Worker in Grove City, OH
• Providers in Grove City, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.