Individual provider Active NPI

Heidi Lynn Kameron, LCSW

  • Clinical Social Worker
  • Forney, TX
National Provider Identifier
1356141667
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103580 Issued in TX
Practice address
11030 Reeder LN
Forney, TX 75126-6441
Phone
(469) 387-6039
NPI assigned
Mar 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 103580 TX Primary

Addresses

Primary practice location

11030 Reeder LN
Forney, TX 75126-6441

Mailing address

4102 Blythe St
Rockwall, TX 75032-0086
Phone (248) 620-6044

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
103580TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mend Social Work & Counseling, PLLC Clinical CurrentSince Mar 24, 2025 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

11030 Reeder Ln
Forney, TX 75126
Phone (469) 387-6039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1356141667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 BLYTHE ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320086",
            "telephone_number": "248-620-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 REEDER LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266441",
            "telephone_number": "469-387-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMERON",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.