Individual provider Active NPI

Heather Ann Smoley, LICSW

  • Clinical Social Worker
  • Saint Cloud, MN
National Provider Identifier
1285505719
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26051 Issued in MN
Practice address
2848 2ND St S Ste 135
Saint Cloud, MN 56301-3705
Phone
(763) 428-2288
Fax
(763) 428-2132
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 26051 MN Primary

Addresses

Primary practice location

2848 2ND St S Ste 135
Saint Cloud, MN 56301-3705

Mailing address

2848 2ND St S Ste 135
Saint Cloud, MN 56301-3705
Phone (763) 428-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251006002665 MN Practitioner - Clinical Social Worker 4183121387 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
Telehealth
Offers telehealth services
Group practices
Horizon Psychiatry LLCGroup PAC ID 7214214584, 6 clinicians

Practice addresses (Care Compare)

2848 2ND St S
Suite 135
Saint Cloud, MN 56301-3705
Phone (763) 428-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26051MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Psychiatry, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

21370 John Milless Dr
Ste 210
Rogers, MN 55374
Phone (763) 428-2288

2848 2nd St S
Ste 135
Saint Cloud, MN 56301
Phone (763) 428-2288

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1285505719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 2ND ST S STE 135",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013705",
            "telephone_number": "763-428-2288",
            "fax_number": "763-428-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 2ND ST S STE 135",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013705",
            "telephone_number": "763-428-2288",
            "fax_number": "763-428-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEY",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.