Heather Ann Dick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017353 Issued in PA

Practice address

270 Walker Dr Ste 331E
State College, PA 16801-7097

Phone

(814) 933-4622

Fax

(814) 690-1599

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mana Life Counseling LLC

  • Clinical Social Worker
  • State College, PA
  • NPI 1861109035
  NPD Authorized official
• Davis Chiropractic LLC

  • Chiropractor
  • State College, PA
  • NPI 1508087404
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1245428655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 DEVONSHIRE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033206",
            "telephone_number": "570-772-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 WALKER DR STE 331E",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-933-4622",
            "fax_number": "814-690-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Boal Ave",
            "address_purpose": "LOCATION",
            "city": "Boalsburg",
            "state": "PA",
            "postal_code": "168271444",
            "country_code": "US",
            "telephone_number": "814-933-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05340300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris J Devlin, DMD
• Scott Alan Devore, ATC
• Brooke Dexheimer, OTD, OTR/L
• DFP Counseling Services
• Pushkar Mayur Dhume
• Dicks Home Care Inc
• Dallis Dillon
• Adriana Distanislao, PA-C
• Lynn E Diven, RD LD CDE
• Courtney Dixon-Hudlow

• Clinical Social Worker in State College, PA
• Providers in State College, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.