Individual provider Active NPI

Nadine Heusner

  • Clinical Social Worker
  • Enterprise, FL
National Provider Identifier
1114086030
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12877 Issued in FL
Practice address
51 Childrens Way
Enterprise, FL 32725-8135
Phone
(386) 801-5596
NPI assigned
Dec 6, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R052381-1 NY
Clinical Social Worker 1041C0700X SW12877 FL Primary

Addresses

Primary practice location

51 Childrens Way
Enterprise, FL 32725-8135

Mailing address

1921 Mendocino LN
Port Orange, FL 32128-7408
Phone (201) 927-6930

Other practice location 1

2808 Enterprise Rd Ste 105
Debary, FL 32713-2753
Phone (386) 801-5596

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R052381-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heusner Social Solutions, LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients
Florida United Methodist Children's Home Inc. Past Accepting new patients

Locations

1615 Ridgewood Ave
Ste B
Holly Hill, FL 32117
Phone (386) 999-0333

Organizations & group practices 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1114086030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 MENDOCINO LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287408",
            "telephone_number": "201-927-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHILDRENS WAY",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "327258135",
            "telephone_number": "386-801-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 Enterprise Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Debary",
            "state": "FL",
            "postal_code": "327132753",
            "country_code": "US",
            "telephone_number": "386-801-5596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUSNER",
        "first_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052381-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.