Jodie Heicklen LMSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JODIE HEICKLEN LMSW, PLLC

Practice address

1850 11 Mile Rd
Berkley, MI 48072-3001

Phone

(917) 536-2330

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Jodie Heicklen, LMSWNPI 1982194668

Title

President

Phone

(917) 536-2330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodie Rebecca Heicklen, LMSW

  • Social Worker
  • Southfield, MI
  • NPI 1982194668
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1144995986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 HEREFORD DR",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723001",
            "telephone_number": "917-536-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE HEICKLEN LMSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "HEICKLEN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-536-2330",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joylene-Alena Mary Jabboori, RN
• Kenneth Jackson, PA-C
• Lauren Betty Jacob, MA, TLLP
• Ahmad Jaradat
• Jeffrey T. Klein, D.P.M., P.C.
• Jessica Renee Johnson, AT
• Sparkle Crujhon Johnson, LLMSW
• Matthew Jones, M.D.
• Tristen John Jorah, LLMSW
• Diora Christina Jouja, D.D.S.

• Clinical Social Worker in Berkley, MI
• Providers in Berkley, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.