Individual provider Active NPI

Heidi Pines, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1073960464
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10377 Issued in FL
Practice address
4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone
(954) 716-6514
Fax
(754) 223-2984
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 SW10377 FL Primary

Addresses

Primary practice location

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204

Mailing address

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone (954) 716-6514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161102002966 FL Practitioner - Clinical Social Worker 3274811781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theracounsel, Inc.Group PAC ID 0143206466, 17 clinicians

Practice addresses (Care Compare)

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone (954) 716-6514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10377FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theracounsel, Inc. Clinical CurrentSince Oct 23, 2016 Accepting new patients

Locations

4546 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 328-6163

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1073960464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085204",
            "telephone_number": "954-716-6514",
            "fax_number": "754-223-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085204",
            "telephone_number": "954-716-6514",
            "fax_number": "754-223-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINES",
        "first_name": "HEIDI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.