Active NPI
Laurie Michel Heim, LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1164026647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017862
- Practice address
- 3505 Village Dr Ste 101
Fayetteville, NC 28304-4514 - Phone
- (888) 291-4357
- NPI assigned
- Nov 25, 2020
- 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 | C017862 | NC | Primary |
Addresses
Primary practice location
3505 Village Dr Ste 101
Fayetteville, NC 28304-4514
Mailing address
3505 Village Dr Ste 101
Fayetteville, NC 28304-4514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121002665 | NC | Practitioner - Clinical Social Worker | 7315476363 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerstone of Tennessee, Inc.
Practice addresses (Care Compare)
3505 Village Dr
Suite 101
Fayetteville, NC 28304-4514
Phone (615) 463-6669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Current | Accepting new patients | |
| Centerstone of Tennesse Inc. | Current | Accepting new patients |
Locations
3505 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (615) 463-6669
1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
- NPI 1609482439
NC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1144836982
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hinesville, GA
- NPI 1376365197
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1396767430
-
- Long Term Care Pharmacy
- Nashville, TN
- NPI 1467873570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1164026647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 VILLAGE DR STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 VILLAGE DR STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044514",
"telephone_number": "888-291-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "LAURIE",
"middle_name": "MICHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.