Heather Kinney Brooks, LMSW
Individual provider Active NPI Social Worker · Harvey, LA
NPI 1174053995 · NPPES record last updated Feb 7, 2021
Key facts
- NPI
- 1174053995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11193 (LA)
- Practice address
- 4103 Lac Couture Dr
Harvey, LA 70058 - Phone
- (504) 368-9935
- Fax
- (504) 368-9918
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caravelle Care Inc
Practice addresses (Care Compare)
4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7400
Phone (504) 267-7324
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220726000037 | LA | Practitioner - Clinical Social Worker | 5991186744 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caravelle Care Inc. | Social Worker | Current |
Accepting new patients |
| Gateway Foundation Inc. | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11193 | LA | Yes |
Addresses
Primary practice location
4103 Lac Couture Dr
Harvey, LA 70058
Mailing address
4103 Lac Couture Dr
Harvey, LA 70058
Phone (504) 368-9935
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.