Individual provider Active NPI

Willard E. Heuser, L.C.S.W., I.C.A.D.C.

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1083788129
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000481 Issued in DE
Practice address
1902-A Maryland Ave.
Wilmington, DE 19805
Phone
(302) 655-7108
Fax
(302) 655-0689
NPI assigned
Nov 20, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 407 DE
Clinical Social Worker 1041C0700X Q10000481 DE Primary

Addresses

Primary practice location

1902-A Maryland Ave.
Wilmington, DE 19805

Mailing address

1902A Maryland Ave
Wilmington, DE 19805-4605
Phone (302) 655-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20090317000582 DE Practitioner - Clinical Social Worker 7719044858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Counseling and Consulting Services LLCGroup PAC ID 6305219460, 6 clinicians

Practice addresses (Care Compare)

18464 Plantations Blvd
Lewes, DE 19958-4686
Phone (302) 455-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407DEMDAddiction (Substance Use Disorder) Counselor
Q10000481DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Psychological Services LLC Addiction (Substance Use Disorder) Past Accepting new patients
Phoenix Behavioral Health Services Past Accepting new patients
Amna Medical Center, LLC Past Accepting new patients

Organizations & group practices 4

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1083788129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902-A MARYLAND AVE.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSER",
        "first_name": "WILLARD",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W., I.C.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.