Heather Isabel Fennerty

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21013 Issued in MD

Practice address

4254 35TH St S
Arlington, VA 22206-1802

Phone

(703) 975-5039

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Innovative Therapeutic Services, LLC

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1003147505

  Clinical

  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1336834910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 35TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061802",
            "telephone_number": "703-975-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 35TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061802",
            "telephone_number": "703-975-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNERTY",
        "first_name": "HEATHER",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agere Fekadu
• Joli Scorce Fekeci, L.C.S.W.
• Eli Feldman, PSYD
• Talia Rachel Feldman, M.ED.
• Erica Lee Fener, PH.D.
• Rebecca Marie Ferenci
• Erika Sofia Fernandez
• Miguel A Fernandez, M.D.
• Fernellas Quality Care
• Myriam Ferzli, M.D.

• Clinical Social Worker in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.