Active NPI
Sarah Lindsey Heitz, LCSW, PPSC
- Clinical Social Worker
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW99981
- Practice address
- 855 N Euclid Ave
Ontario, CA 91762-2729 - Phone
- (909) 983-2020
- NPI assigned
- Sep 24, 2015
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ACSW77941 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW99981 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | E1906340 | CA |
Addresses
Primary practice location
855 N Euclid Ave
Ontario, CA 91762-2729
Mailing address
855 N Euclid Ave
Ontario, CA 91762-2729
Phone (909) 983-2020
Other practice location 1
2008 N Garey Ave
Pomona, CA 91767-2722
Phone (909) 623-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17059 Main St
Hesperia, CA 92345-6067
Phone (760) 956-4170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW77941 | CA | MD | Mental Health Counselor |
| LCSW99981 | CA | MD | Clinical Social Worker |
| E1906340 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Tri-City Mental Health Center | Past | Accepting new patients | |
| Tri-City Mental Health Authority | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505
17059 Main St
Hesperia, CA 92345
Phone (760) 956-4170
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- General Practice Physician
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- NPI 1285890624
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- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
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- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1346304920
-
- Case Management Agency
- Pomona, CA
- NPI 1255651501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1316316920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622729",
"telephone_number": "909-983-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622729",
"telephone_number": "909-983-2020"
}
],
"practiceLocations": [
{
"address_1": "2008 N Garey Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672722",
"country_code": "US",
"telephone_number": "909-623-6131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEITZ",
"first_name": "SARAH",
"middle_name": "LINDSEY",
"credential": "LCSW, PPSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW77941",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW99981",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "E1906340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.