Active NPI
Shannon Joy Heick, LCSW
- Clinical Social Worker
- Fargo, ND
National Provider Identifier
1154726057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3763
- Practice address
- 1112 Nodak Dr S
Fargo, ND 58103-2333 - Phone
- (701) 232-6224
- Fax
- (701) 232-4687
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3763 | ND | Primary |
Addresses
Primary practice location
1112 Nodak Dr S
Fargo, ND 58103-2333
Mailing address
509 25TH Ave N
Fargo, ND 58102-1938
Phone (701) 232-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of North Dakota School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1112 Nodak Dr S
Fargo, ND 58103-2333
Phone (701) 232-6224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Christian Counseling Center Inc | Clinical | Current | Accepting new patients |
Locations
1112 Nodak Dr S
Fargo, ND 58103
Phone (701) 232-6224
509 25th Ave N
Fargo, ND 58102
Phone (701) 232-6224
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": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1154726057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 25TH AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021938",
"telephone_number": "701-232-6224",
"fax_number": "701-232-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NODAK DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032333",
"telephone_number": "701-232-6224",
"fax_number": "701-232-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEICK",
"first_name": "SHANNON",
"middle_name": "JOY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.