Individual provider Active NPI

Patricia D Heron

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1346925567
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24098 Issued in FL
Practice address
110 Front St Ste 300
Jupiter, FL 33477-5095
Phone
(941) 882-0099
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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 SW24098 FL Primary

Addresses

Primary practice location

110 Front St Ste 300
Jupiter, FL 33477-5095

Mailing address

3240 58TH Ave NE
Naples, FL 34120-3102
Phone (239) 900-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250124000584 FL Practitioner - Clinical Social Worker 5092244749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

110 Front St
Suite 300
Jupiter, FL 33477-5095
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24098FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life FL PA CurrentSince Sep 27, 2025 Accepting new patients
Total Life Inc. CurrentSince Jan 10, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

Organizations & group practices 3

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1346925567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 58TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203102",
            "telephone_number": "239-900-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRONT ST STE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "941-882-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.