Individual provider Active NPI

Heidi Ponce

  • Social Worker
  • Springerville, AZ
National Provider Identifier
1154038396
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-23395 Issued in AZ
Practice address
50 North Street
Springerville, AZ 85938
Phone
(928) 333-2683
NPI assigned
Oct 27, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW-23395 AZ Primary

Addresses

Primary practice location

50 North Street
Springerville, AZ 85938

Mailing address

16115 W Kendall St
Goodyear, AZ 85338-9465
Phone (480) 828-3941

Other practice location 1

470 W Cleveland St
Saint Johns, AZ 85936-4501
Phone (928) 337-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260306003383 AZ Practitioner - Clinical Social Worker 4486136496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23395AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Community Bridges, Inc. CurrentSince Jan 19, 2026 Accepting new patients

Locations

470 S Ocotillo St
#2
Benson, AZ 85602
Phone (520) 586-6171

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1154038396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 W KENDALL ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389465",
            "telephone_number": "480-828-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTH STREET",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "85938",
            "telephone_number": "928-333-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 W Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "AZ",
            "postal_code": "859364501",
            "country_code": "US",
            "telephone_number": "928-337-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-23395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springerville, AZ

Sources for this page

Verify at the official NPI Registry.