Individual provider Active NPI

Heather Lea Vargo, LCSW

  • Clinical Social Worker
  • Paoli, PA
National Provider Identifier
1174642094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013306 Issued in PA
Practice address
183 W Lancaster Ave
Paoli, PA 19301-1740
Phone
(484) 527-0181
Fax
(484) 527-0116
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013306 PA Primary

Addresses

Primary practice location

183 W Lancaster Ave
Paoli, PA 19301-1740

Mailing address

712 Black Rock Rd
Collegeville, PA 19426-2924
Phone (610) 983-3367

Other identifiers 1

IdentifierTypeStateIssuer
0135867000OtherPAMHS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130723000811 PA Practitioner - Clinical Social Worker 2466693106 Practice locations: Paoli, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 Leopard Rd
Suite 203
Paoli, PA 19301-1552
Phone (484) 527-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174642094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BLACK ROCK RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262924",
            "telephone_number": "610-983-3367",
            "fax_number": "610-983-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011740",
            "telephone_number": "484-527-0181",
            "fax_number": "484-527-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS #",
            "identifier": "0135867000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.