Active NPI
Heather Hiroki, MSW, LISW-S, LICDC
- Social Worker
- Mansfield, OH
National Provider Identifier
1053852939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.1700522-SUPV
- Practice address
- 215 N Trimble Rd
Mansfield, OH 44906-2630 - Phone
- (419) 272-8488
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | S.1500612 | OH | |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 161386 | OH | |
| Social Worker | 104100000X | I.1700522-SUPV | OH | Primary |
Addresses
Primary practice location
215 N Trimble Rd
Mansfield, OH 44906-2630
Mailing address
949 Township Road 813
Ashland, OH 44805-8836
Phone (419) 496-8764
Other practice location 1
127 Quick Rd
New Carlisle, OH 45344-9253
Phone (937) 845-3628
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1700522-SUPV | OH | MD | Social Worker |
| S.1500612 | OH | MD | Substance Abuse Rehabilitation Facility |
| 161386 | OH | MD | Children's Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Individual and Family Services, Inc. | Current | Accepting new patients | |
| The Center for Individual & Family Services, Inc. | Substance Abuse Rehabilitation Facility | Current | Accepting new patients |
| Cornell Abraxas Group, LLC | Substance Abuse Treatment, Children | Past | Accepting new patients |
| Cornell Abraxas Group, LLC | Substance Abuse Treatment, Children | Past | Accepting new patients |
Locations
741 Scholl Rd
Mansfield, OH 44907
Phone (419) 756-1717
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mansfield, OH
- NPI 1487669222
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Mansfield, OH
- NPI 1568722171
Substance Abuse Rehabilitation Facility
-
- Children's Substance Abuse Rehabilitation Facility
- Shelby, OH
- NPI 1134385669
Substance Abuse Treatment, Children
-
- Children's Substance Abuse Rehabilitation Facility
- Shelby, OH
- NPI 1376518902
Substance Abuse Treatment, Children
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1053852939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 TOWNSHIP ROAD 813",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448058836",
"telephone_number": "419-496-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062630",
"telephone_number": "419-272-8488"
}
],
"practiceLocations": [
{
"address_1": "127 Quick Rd",
"address_purpose": "LOCATION",
"city": "New Carlisle",
"state": "OH",
"postal_code": "453449253",
"country_code": "US",
"telephone_number": "937-845-3628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIROKI",
"first_name": "HEATHER",
"credential": "MSW, LISW-S, LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OH",
"license": "S.1500612",
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "OH",
"license": "161386",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1700522-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.