Heather Glenn Macleod, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11145 Issued in MN

Practice address

6133 11TH Ave S
Minneapolis, MN 55417-3207

Phone

(612) 324-7183

Fax

(612) 445-8255

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MN2 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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Lyn-Lake Psychotherapy and Wellness LTDGroup PAC ID 9638581291, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lyn-Lake Psychotherapy and Wellness LTD.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1609355163
  Medicare reassignment Care Compare group NPD
• Perspectives Counseling and Consulting LLC

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1871461707
  Medicare reassignment NPD Authorized official
• New Perspectives Counseling & Consulting, LLC

  • Clinical Social Worker
  • Tuscaloosa, AL
  • NPI 1548827694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1356834428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 11TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173207",
            "telephone_number": "612-324-7183",
            "fax_number": "612-445-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 11TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173207",
            "telephone_number": "612-324-7183",
            "fax_number": "612-445-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 W Lake St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554082952",
            "country_code": "US",
            "telephone_number": "612-324-7183",
            "fax_number": "612-445-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 7th St",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354011803",
            "country_code": "US",
            "telephone_number": "205-860-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "HEATHER",
        "middle_name": "GLENN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3857C-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenze Maggie Mackovich, MENTAL HEALTH P
• Danielle Yvonne Maclaurin, APRN,BC, ANP, GNP
• Douglas G Maclean, MD
• Skyler Maclean, PHARMD
• Don L Maclennan, M.A.
• Margaret L Macmillan, MD
• Deborah A. Macneill, M.D.
• Christopher Macomber, M.D.
• David W Macomber, MD
• Grace C Macomber, NP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.