Individual provider Active NPI

Maria Alicia Pitarque Heishman

  • School Social Worker
  • Fairfax, VA
National Provider Identifier
1306502745
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
PGP-0652687 Issued in VA
Practice address
3613 Chain Bridge Rd Ste D
Fairfax, VA 22030-3238
Phone
(703) 397-8163
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0903001692 VA
School Social Worker 1041S0200X PGP-0652687 VA Primary

Addresses

Primary practice location

3613 Chain Bridge Rd Ste D
Fairfax, VA 22030-3238

Mailing address

2709 Viking Dr
Herndon, VA 20171-2412
Phone (703) 216-4113

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
0903001692VAMDSocial Worker
PGP-0652687VAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Leaf Center Clinical PastSince Nov 16, 2021 Accepting new patients

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1306502745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 VIKING DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712412",
            "telephone_number": "703-216-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 CHAIN BRIDGE RD STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303238",
            "telephone_number": "703-397-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITARQUE HEISHMAN",
        "first_name": "MARIA",
        "middle_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903001692",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PGP-0652687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.