Individual provider Active NPI

Abigail Heiter

  • Clinical Social Worker
  • Glen Allen, VA
National Provider Identifier
1295464204
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014032 Issued in VA
Practice address
11520 Nuckols Rd Ste 102
Glen Allen, VA 23059-2558
Phone
(434) 953-3664
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904014032 VA Primary

Addresses

Primary practice location

11520 Nuckols Rd Ste 102
Glen Allen, VA 23059-2558

Mailing address

6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone (804) 743-0960

Other names 1

  • Abigail Starns Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Notapplicable

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220706002603 VA Practitioner - Clinical Social Worker 2769862994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014032VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Clinical CurrentSince Jun 22, 2022 Accepting new patients

Locations

11520 Nuckols Rd
Ste 102
Glen Allen, VA 23059
Phone (434) 953-3664

6603 Irongate Sq
North Chesterfield, VA 23234

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1295464204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 IRONGATE SQ",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346081",
            "telephone_number": "804-743-0960",
            "fax_number": "804-396-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 NUCKOLS RD STE 102",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592558",
            "telephone_number": "434-953-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITER",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Notapplicable",
            "affiliation": "N",
            "endpointDescription": "Practice physical address is only endpoint",
            "address_1": "11520 Nuckols Rd Ste 102",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230592558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "STARNS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.