Individual provider Active NPI

Heather Hiroki, MSW, LISW-S, LICDC

  • Social Worker
  • Mansfield, OH
National Provider Identifier
1053852939
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1700522-SUPV Issued in OH
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

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420002514 OH Practitioner - Clinical Social Worker 0042628646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1700522-SUPVOHMDSocial Worker
S.1500612OHMDSubstance Abuse Rehabilitation Facility
161386OHMDChildren's Substance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Individual and Family Services, Inc. CurrentSince Jan 12, 2021 Accepting new patients
The Center for Individual & Family Services, Inc. Substance Abuse Rehabilitation Facility CurrentSince Jan 12, 2021 Accepting new patients
Cornell Abraxas Group, LLC Substance Abuse Treatment, Children Past Accepting new patients
Cornell Abraxas Group, LLC Substance Abuse Treatment, Children PastSince Jun 21, 2022 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.

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

Verify at the official NPI Registry.