Heidi Louise Waligora, MSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7534-123 Issued in WI

Practice address

301 Ellis Ave Ste 1
Ashland, WI 54806-1667

Phone

(715) 682-3523

Fax

(715) 682-3526

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Impact Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hayward, WI
  • NPI 1346419082
  NPD (past)
• Impact Counseling Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Ashland, WI
  • NPI 1467626606
  NPD (past)
• U.P. Stress Center Psychological Solutions

  • Community/Behavioral Health Agency
  • Sault Sainte Marie, MI
  • NPI 1366608200
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1285618462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 LINE LEXINGTON RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402220",
            "telephone_number": "715-682-3523",
            "fax_number": "715-682-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELLIS AVE STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061667",
            "telephone_number": "715-682-3523",
            "fax_number": "715-682-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIGORA",
        "first_name": "HEIDI",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7534-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lee Vitek, RN, CNP
• Amanda Marie Vitovsky, APNP
• William M Vittone, PTA
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1672)
• Walgreen Co (Walgrens #10758)
• Krystal Walker, COTA
• Scott H. Warren, MD
• Jeanne Lorette Waters
• Debra Anne Weber, LPC
• Elizabeth M Webster, APNP

• Clinical Social Worker in Ashland, WI
• Providers in Ashland, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.