Bobby S Heard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-08189 Issued in NM

Practice address

110 E Mescalero Rd
Roswell, NM 88201-6542

Phone

(575) 623-1480

Fax

(575) 622-3325

NPI assigned

Aug 18, 2009

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Bobby Heard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1073745451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3978 S SPRING LOOP",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882039625",
            "telephone_number": "575-626-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MESCALERO RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016542",
            "telephone_number": "575-623-1480",
            "fax_number": "575-622-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "BOBBY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0111741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "HEARD",
            "credential": "LADAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Atia Shireen Hashim, M.D.
• Karen Haughness, LPCC., PH.D.
• Stephen F Hawkyns, MD
• Jared P Hayes, PHARM.D
• Healthbridge Medical and Rehabilitative Services LLC (Healthbridge Home Health of Roswell)
• Heart Path Oriental Medicine
• David Michael Heckman, R.PH.
• Helena E. Kintonis, LLC
• Deanna Henderson, CPNP-PC
• Karen J Henderson, RN

• Clinical Social Worker in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.