Heidi Lee Lively, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009440 Issued in CT

Practice address

15 Osborne LN
Woodbridge, CT 06525-1728

Phone

(207) 522-3676

NPI assigned

Nov 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Transitions Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1952360760
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1174694202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OSBORNE LN",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251728",
            "telephone_number": "207-522-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OSBORNE LN",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251728",
            "telephone_number": "207-522-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "HEIDI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009440",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "ME298967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lewis-Stowe, LCSW
• Julian Lieb, MD
• Lincare Inc
• Phyllis A Liu, O.D.
• Live Well Home Care LLC
• Jamie Marie Loehfelm, LPC
• Sofia Ashley Loran, PMHNP-BC
• Kate Lorenzoni, LCSW
• Kayla Marie Lucas, LCSW
• Julie Luce, LMSW

• Clinical Social Worker in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.