Individual provider Active NPI

Liesl Nell Park Heuer

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1154774230
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125028 Issued in CA
Practice address
13400 Riverside Dr Ste 301
Sherman Oaks, CA 91423-2549
Phone
(310) 704-5960
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 125028 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social Worker 1041C0700X 125028 CA Primary

Addresses

Primary practice location

13400 Riverside Dr Ste 301
Sherman Oaks, CA 91423-2549

Mailing address

13400 Riverside Dr Ste 301
Sherman Oaks, CA 91423-2549
Phone (310) 704-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250423002751 CA Practitioner - Clinical Social Worker 4587189477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13400 Riverside Dr
Suite 301
Sherman Oaks, CA 91423-2549
Phone (424) 500-4365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125028CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Forward, Licensed Marriage and Family Therapy , Inc. CurrentSince Mar 31, 2025 Accepting new patients

Locations

13400 Riverside Dr
Ste 301
Sherman Oaks, CA 91423
Phone (310) 704-5960

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1154774230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR STE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232549",
            "telephone_number": "310-704-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR STE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232549",
            "telephone_number": "310-704-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUER",
        "first_name": "LIESL",
        "middle_name": "NELL PARK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "125028",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.