Individual provider Active NPI

Heidi Bennett, LCSW

  • Clinical Social Worker
  • Plaquemine, LA
National Provider Identifier
1215402490
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11292 Issued in LA
Practice address
23827 Eden St
Plaquemine, LA 70764-3315
Phone
(225) 289-4621
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 11292 LA Primary

Addresses

Primary practice location

23827 Eden St
Plaquemine, LA 70764-3315

Mailing address

20625 Charles Ory Dr
Plaquemine, LA 70764-5317
Phone (225) 385-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220510000132 LA Practitioner - Clinical Social Worker 3577940709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Baton Rouge, LA 70815
Phone (225) 289-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11292LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center, LLC Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

1635 Cottondale Dr
Baton Rouge, LA 70815
Phone (225) 289-4621

23827 Eden St
Plaquemine, LA 70764
Phone (225) 385-4202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1215402490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20625 CHARLES ORY DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707645317",
            "telephone_number": "225-385-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23827 EDEN ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643315",
            "telephone_number": "225-289-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

Verify at the official NPI Registry.