Individual provider Active NPI

Heather L Pocock, LCSW

  • Clinical Social Worker
  • Rexburg, ID
National Provider Identifier
1356659007
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-29919 Issued in ID
Practice address
218 Dividend Dr
Suite 3
Rexburg, ID 83440-3556
Phone
(208) 359-9683
Fax
(208) 359-9683
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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 LCSW-29919 ID Primary

Addresses

Primary practice location

218 Dividend Dr
Suite 3
Rexburg, ID 83440-3556

Mailing address

218 Dividend Dr
Suite 3
Rexburg, ID 83440-3556
Phone (208) 359-9683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20250619001326 ID Practitioner - Clinical Social Worker 2062923618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ostermiller Counseling Services, Inc.Group PAC ID 3476896911, 5 clinicians

Practice addresses (Care Compare)

242 E 7TH
Suite 4
Rexburg, ID 83440-3550
Phone (208) 359-9683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-29919IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ostermiller Counseling Services Inc. CurrentSince Mar 14, 2025 Accepting new patients

Locations

218 Dividend Dr
Ste 3
Rexburg, ID 83440
Phone (208) 359-9683

242 E 7th N
Ste 4
Rexburg, ID 83440
Phone (208) 359-9683

Organizations & group practices 1

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1356659007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DIVIDEND DR",
            "address_2": "SUITE 3",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403556",
            "telephone_number": "208-359-9683",
            "fax_number": "208-359-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DIVIDEND DR",
            "address_2": "SUITE 3",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403556",
            "telephone_number": "208-359-9683",
            "fax_number": "208-359-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCOCK",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-29919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.