Individual provider Active NPI

Heather Rae Denise Howard, LMSW

  • Clinical Social Worker
  • Chester, VA
National Provider Identifier
1275251589
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0903002424 Issued in VA
Practice address
4318 Old Hundred Rd
Chester, VA 23831-4231
Phone
(804) 621-5572
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 0903002424 VA Primary

Addresses

Primary practice location

4318 Old Hundred Rd
Chester, VA 23831-4231

Mailing address

4318 Old Hundred Rd
Chester, VA 23831-4231

Other identifiers 1

IdentifierTypeStateIssuer
1134374747OtherVACLINICAL SUPERVISOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.resilientevergreen.com

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
0903002424VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1275251589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 OLD HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 OLD HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314231",
            "telephone_number": "804-621-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "HEATHER",
        "middle_name": "RAE DENISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0903002424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SUPERVISOR",
            "identifier": "1134374747",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.resilientevergreen.com",
            "affiliation": "N",
            "address_1": "4318 Old Hundred Rd",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238314231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.