Monica Jo Heiter, LCSW

Individual provider Active NPI Clinical Social Worker · Concordia, MO

NPI 1174640320 · NPPES record last updated Aug 23, 2018

Key facts

NPI
1174640320
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2006008225 (MO)
Practice address
206 N Bismark St Ste a
Concordia, MO 64020
Phone
(660) 463-0234
Fax
(660) 463-0266
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2006008225MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dietchman, Leavell and Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2006008225 MO Yes

Addresses

Primary practice location

206 N Bismark St Ste a
Concordia, MO 64020

Mailing address

825 S Business Highway 13
Lexington, MO 64067-1515
Phone (660) 259-2440

Other practice location 1

3210 Gillham Rd
Kansas City, MO 64109-1714
Phone (816) 531-7737 ext. 319

Other providers in Concordia, MO

All providers in Concordia, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.