Individual provider Active NPI

Heather Beery, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1063081479
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010745A Issued in IN
Practice address
3100 E John Hinkle PL Ste 102
Bloomington, IN 47408-2611
Phone
(812) 345-0125
NPI assigned
Jun 21, 2021
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010745A IN Primary
Clinical Social Worker 1041C0700X SW26467 FL
Clinical Social Worker 1041C0700X 07244 KS

Addresses

Primary practice location

3100 E John Hinkle PL Ste 102
Bloomington, IN 47408-2611

Mailing address

2435 N Mount Gilead Rd
Bloomington, IN 47408-9207
Phone (812) 345-0125

Other practice location 1

2435 N Mount Gilead Rd
Bloomington, IN 47408-9207
Phone (812) 345-0125

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather@heatherbeery.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231213002941 IN Practitioner - Clinical Social Worker 6800245093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

901 S Rogers St
Suite 103
Bloomington, IN 47403-4760
Phone (812) 345-0125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW26467FLMDClinical Social Worker
34010745AINMDClinical Social Worker
07244KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Beery LLC CurrentSince Nov 21, 2023 Accepting new patients

Locations

3100 E John Hinkle Pl
Ste 102
Bloomington, IN 47408
Phone (812) 334-3949

901 S Rogers St
Ste 103
Bloomington, IN 47403
Phone (812) 333-4379

Interoperability endpoints

  • Direct secure messaging: heather@heatherbeery.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1063081479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 N MOUNT GILEAD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089207",
            "telephone_number": "812-345-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E JOHN HINKLE PL STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082611",
            "telephone_number": "812-345-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 N Mount Gilead Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089207",
            "country_code": "US",
            "telephone_number": "812-345-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERY",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010745A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26467",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@heatherbeery.com",
            "affiliation": "N",
            "endpointDescription": "Google workspace email address",
            "address_1": "2435 N Mount Gilead Rd",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.