Heidi Simon, ASW 101843

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

702-130 Richmond Rd E
Susanville, CA 96130-5029

Phone

(530) 257-5644

NPI assigned

Jun 11, 2021

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Environmental Alternatives

  dba EA Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Susanville, CA
  • NPI 1295353084
  NPD

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1053989541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719375",
            "telephone_number": "530-283-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702-130 RICHMOND RD E",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961305029",
            "telephone_number": "530-257-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "HEIDI",
        "credential": "ASW 101843",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P. Buehler, DDS, PC
• Barbara Lyn Sheld
• Kailie Emilia Shoemaker
• Sierra ER Department Physicians Medical Group Inc.
• Sierra Medical Services Alliance
• Kyle James Simpson, DDS
• Smiles for Life, Inc
• Smiles for Life, Inc
• Alexandra Smith
• Carmel Smith

• Clinical Social Worker in Susanville, CA
• Providers in Susanville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.