Samantha Marie Heddinger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10308-C Issued in NV

Practice address

690 E Patriot Blvd Apt 366
Reno, NV 89511-1291

Phone

(660) 235-0342

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By the provider in NPPES

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nevada Urban Indians, Inc.

  • Community Health Clinic/Center
  • Reno, NV
  • NPI 1235547993
  Medicare reassignment

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1194442053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E PATRIOT BLVD APT 366",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111291",
            "telephone_number": "660-235-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E PATRIOT BLVD APT 366",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111291",
            "telephone_number": "660-235-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDINGER",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021040414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10308-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heaven Bound Lifestyle Center
• Erica Heavrin
• Crista Hebel
• Melisa S Heckathorn, LMSW
• Orlanda Heckathorn
• Betty Hedrick
• Stephen Randall Hedrick
• Emily Hedstrom
• Melissa Macey Heemsath, APRN, FNP-C
• Sean Heeran

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.