Active NPI
Andrew Heil
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010840
- Practice address
- 911 Hay St
Fayetteville, NC 28305-5313 - Phone
- (910) 438-0939
- NPI assigned
- Feb 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22112 | NC | |
| Clinical Social Worker | 1041C0700X | C010840 | NC | Primary |
Addresses
Primary practice location
911 Hay St
Fayetteville, NC 28305-5313
Mailing address
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7850 Brier Creek Pkwy
Suite 102
Raleigh, NC 27617-8900
Phone (984) 263-0846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-22112 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
| Avance Care, PA | Current | Accepting new patients |
Locations
2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009
10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337
7850 Brier Creek Pkwy
Ste 102
Raleigh, NC 27617
Phone (919) 748-4878
7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880
Organizations & group practices 3
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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
-
- Clinical Social Worker
- Durham, NC
- NPI 1083723266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1235639907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072829",
"telephone_number": "919-251-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055313",
"telephone_number": "910-438-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIL",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-22112",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.