Individual provider Active NPI

Heather Hogbin, LISW

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1205386356
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007234 Issued in IA
Practice address
111 W 15TH St
Davenport, IA 52803-4609
Phone
(563) 322-7419
Fax
(563) 322-5339
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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 007234 IA Primary

Addresses

Primary practice location

111 W 15TH St
Davenport, IA 52803-4609

Mailing address

111 W 15TH St
Davenport, IA 52803-4609
Phone (563) 322-7419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180604001273 IA Practitioner - Clinical Social Worker 9234494782 Reassigns benefits to 2 organizations
I20180621001295 IL Practitioner - Clinical Social Worker 9234494782 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health CurrentSince Nov 25, 2021 Accepting new patients
Trinity Medical Center Clinical CurrentSince Apr 29, 2018 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Oct 31, 2021 Accepting new patients
Trinity Medical Center CurrentSince Apr 29, 2018 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Oct 31, 2021 Accepting new patients

Locations

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Organizations & group practices 5

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1205386356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419",
            "fax_number": "563-322-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGBIN",
        "first_name": "HEATHER",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.