Heather Boeser, LICSW

Individual provider Active NPI Clinical Social Worker · Chaska, MN

NPI 1154969020 · NPPES record last updated Jan 10, 2025

Key facts

NPI
1154969020
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
23622 (MN)
Practice address
1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318
Phone
(952) 240-3334
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inmind Health (8 clinicians)

Practice addresses (Care Compare)

1107 Hazeltine Blvd
Suite 496
Chaska, MN 55318-1000
Phone (952) 295-8831

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210824000217 MN Practitioner - Clinical Social Worker 7911302302 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Inmind Health, LLC Current
since Jan 1, 2025
Accepting new patients

Locations

1107 Hazeltine Blvd
Ste 496
Chaska, MN 55318
Phone (952) 240-3334

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23622 MN Yes

Addresses

Primary practice location

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318

Mailing address

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318-4516
Phone (952) 240-3334

Other providers in Chaska, MN

All providers in Chaska, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.