Heather Friend, LCSW, LMSW
Individual provider Active NPI Clinical Social Worker · Calhan, CO
NPI 1366083321 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1366083321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09927984 (CO)
- Practice address
- 1385 Antelope Dr
Calhan, CO 80808-7847 - Phone
- (719) 320-4370
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CO, IL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220209001845 | CO | Practitioner - Clinical Social Worker | 9739572033 | Reassigns benefits to 1 organization |
| I20260406001306 | IL | Practitioner - Clinical Social Worker | 9739572033 | Reassigns benefits to 1 organization |
| I20260420003129 | MI | Practitioner - Clinical Social Worker | 9739572033 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149026353 | IL | MD | Clinical Social Worker |
| 6801117005 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801117005 | MI | |
| Clinical Social Worker | 1041C0700X | 149026353 | IL | |
| Clinical Social Worker | 1041C0700X | CSW.09927984 | CO | Yes |
Addresses
Primary practice location
1385 Antelope Dr
Calhan, CO 80808-7847
Mailing address
1385 Antelope Dr
Calhan, CO 80808-7847
Phone (719) 320-4370
Other providers in Calhan, CO
- Eastern Plains LLC
- Eastern Plains Medical Clinic of Calhan
- Eastern Plains Medical Clinic of Calhan
- Ellicott Fire Protection District
- Footprints of Change Counseling PLLC
- Brooklyyn Garrigan
- Wendy Sue Havens
- Honest Oak LLC
- Diana Christine Jacobsen
- Kendra Denise Jones-Randerson
All providers in Calhan, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.