Individual provider Active NPI

Heidi Howell

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1336564178
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9175860-3502 Issued in UT
Practice address
3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone
(602) 776-7676
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 9175860-3502 UT Primary

Addresses

Primary practice location

3522 N 3Rd Ave
Phoenix, AZ 85013-3903

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161025001268 UT Practitioner - Clinical Social Worker 5294013322 Reassigns benefits to 1 organization
I20201102001469 AZ Practitioner - Clinical Social Worker 5294013322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9175860-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Behavioral Health Special Service District CurrentSince Sep 30, 2016 Accepting new patients
Circle the City CurrentSince Aug 1, 2020 Accepting new patients
Circle the City CurrentSince Aug 1, 2020 Accepting new patients
Wasatch Behavioral Health Special Service District CurrentSince Sep 30, 2016 Accepting new patients
Circle the City Current Accepting new patients

Locations

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

1165 E 300 N
Provo, UT 84606
Phone (801) 319-1142

750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639

Interoperability endpoints

  • Direct secure messaging: heidi.howell.1@11818.direct.athenahealth.com

Organizations & group practices 5

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1336564178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133903",
            "telephone_number": "602-776-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9175860-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.