Shawna Rae Heckeroth, LCSW LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

790 Issued in MT

Practice address

310 N 4TH St
Hamilton, MT 59840

Phone

(406) 531-5670

NPI assigned

Dec 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Corvallis Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Corvallis, MT
  • NPI 1891080529
  NPD (past)
• Hamilton Physical Therapy PC

  dba Corvallis Physical Therapy

  • Physical Therapy Clinic/Center
  • Hamilton, MT
  • NPI 1023057064
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1063695856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598280984",
            "telephone_number": "406-531-5670",
            "fax_number": "406-363-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 4TH ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-531-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKEROTH",
        "first_name": "SHAWNA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Care Providers Inc.
• Health Care Providers-LTC
• Health Care Providers, Inc
• Nora Caitlin Healy, FNP
• Harvard Brett Heath, M.D.
• Donna Faye Henrie, LCSW
• Laura Cathline Herath, RN
• Ryan Michael Hickman, PT, DPT
• Jean Higgins Peretto, PA
• Tricia Hill-Parks

• Clinical Social Worker in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.