Individual provider Active NPI

Scott Allan Heider, MSW, LCSW

  • Clinical Social Worker
  • Westbrook, ME
National Provider Identifier
1194253385
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC21487 Issued in ME
Practice address
1 Harnois Ave Ste 2a
Westbrook, ME 04092-4395
Phone
(207) 661-3400
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC21487 ME Primary
Clinical Social Worker 1041C0700X 089953 NY

Addresses

Primary practice location

1 Harnois Ave Ste 2a
Westbrook, ME 04092-4395

Mailing address

2 Constitution Dr
Westbrook, ME 04092-4612
Phone (207) 956-3474

Other practice location 1

50 Depot Rd Fl 2
Falmouth, ME 04105-1211
Phone (207) 835-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220923002191 NY Practitioner - Clinical Social Worker 7315322575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1194253385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CONSTITUTION DR",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924612",
            "telephone_number": "207-956-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARNOIS AVE STE 2A",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924395",
            "telephone_number": "207-661-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Depot Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051211",
            "country_code": "US",
            "telephone_number": "207-835-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDER",
        "first_name": "SCOTT",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21487",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.