Active NPI
Heidi R Metrakoudes-Hewett, LCSW
- Clinical Social Worker
- Athens, GA
National Provider Identifier
1194476952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008797
- Practice address
- 3722 Atlanta Hwy Ste 4
Athens, GA 30606-1862 - Phone
- (470) 236-8584
- NPI assigned
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008797 | GA | Primary |
Addresses
Primary practice location
3722 Atlanta Hwy Ste 4
Athens, GA 30606-1862
Mailing address
590 Holman Ave
Athens, GA 30606-2626
Phone (706) 372-6122
Other names 1
- Heidi Hewett
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | heidi@heidihewettcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 21, 2024 through Feb 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008797 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1194476952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 HOLMAN AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062626",
"telephone_number": "706-372-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 ATLANTA HWY STE 4",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061862",
"telephone_number": "470-236-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METRAKOUDES-HEWETT",
"first_name": "HEIDI",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-13",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008797",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "heidi@heidihewettcounseling.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "3722 Atlanta Highway",
"address_2": "Suite #4",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "30606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "HEWETT",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.