Individual provider Active NPI

Heather Nelson Baker, LCSW, CEDS

  • Clinical Social Worker
  • Herndon, VA
National Provider Identifier
1194819037
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005419 Issued in VA
Practice address
1031 Sterling Rd Ste 230
Herndon, VA 20170-3865
Phone
(703) 466-5150
Fax
(703) 649-3557
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 0904005419 VA Primary

Addresses

Primary practice location

1031 Sterling Rd Ste 230
Herndon, VA 20170-3865

Mailing address

1031 Sterling Rd Ste 230
Herndon, VA 20170-3865
Phone (703) 466-5150

Other practice location 1

709A W Main St
Charlottesville, VA 22903-4570
Phone (703) 589-6826

Other practice location 2

6340 Center Dr
Norfolk, VA 23502-4104
Phone (703) 589-6826

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HeatherB@prosperityedwell.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904005419VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1194819037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 STERLING RD STE 230",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703865",
            "telephone_number": "703-466-5150",
            "fax_number": "703-649-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 STERLING RD STE 230",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703865",
            "telephone_number": "703-466-5150",
            "fax_number": "703-649-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709A W Main St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034570",
            "country_code": "US",
            "telephone_number": "703-589-6826",
            "fax_number": "703-649-3557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6340 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024104",
            "country_code": "US",
            "telephone_number": "703-589-6826",
            "fax_number": "703-649-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "HEATHER",
        "middle_name": "NELSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HeatherB@prosperityedwell.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1031 Sterling Rd Ste 230",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201703865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.