Individual provider Active NPI

Heather Kinney Brooks, LMSW

  • Social Worker
  • Harvey, LA
National Provider Identifier
1174053995
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11193 Issued in LA
Practice address
4103 Lac Couture Dr
Harvey, LA 70058
Phone
(504) 368-9935
Fax
(504) 368-9918
NPI assigned
Jun 14, 2017
Last updated
Feb 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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 11193 LA Primary

Addresses

Primary practice location

4103 Lac Couture Dr
Harvey, LA 70058

Mailing address

4103 Lac Couture Dr
Harvey, LA 70058
Phone (504) 368-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220726000037 LA Practitioner - Clinical Social Worker 5991186744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caravelle Care IncGroup PAC ID 7416243985, 10 clinicians

Practice addresses (Care Compare)

4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7400
Phone (504) 267-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caravelle Care Inc. Social Worker CurrentSince Aug 1, 2022 Accepting new patients
Gateway Foundation Inc. PastSince Feb 14, 2021 Accepting new patients

Locations

255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324

4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324

Organizations & group practices 2

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1174053995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 LAC COUTURE DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-368-9935",
            "fax_number": "504-368-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 LAC COUTURE DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-368-9935",
            "fax_number": "504-368-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HEATHER",
        "middle_name": "KINNEY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.