Individual provider Active NPI

Heidi Strout Abernethy, MSW, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1063756310
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12386 Issued in FL
Practice address
3250 Endicott Dr
Tallahassee, FL 32311-3725
Phone
(850) 766-6632
NPI assigned
Nov 26, 2012
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12386 FL Primary

Addresses

Primary practice location

3250 Endicott Dr
Tallahassee, FL 32311-3725

Mailing address

3250 Endicott Dr
Tallahassee, FL 32311-3725
Phone (850) 766-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW12386FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Way Therapy, LLC Clinical Past Accepting new patients

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1063756310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ENDICOTT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113725",
            "telephone_number": "850-766-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 ENDICOTT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113725",
            "telephone_number": "850-766-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNETHY",
        "first_name": "HEIDI",
        "middle_name": "STROUT",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.