Heather Walls, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019407 Issued in PA

Practice address

4460 2ND St
Bethel Park, PA 15102-2956

Phone

(412) 360-6301

NPI assigned

Mar 6, 2015

Last updated

Apr 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mind Counseling Services, LLCGroup PAC ID 6901277706, 13 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.

• State of Mind Counseling Services, LLC

  • Mental Health Counselor
  • Milford, DE
  • NPI 1275260952

  Clinical

  Medicare reassignment Care Compare group NPD
• Compass Mental Wellness Services, Inc

  • Psychologist
  • Seaford, DE
  • NPI 1174137624
  NPD

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1376936955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 2ND ST",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022956",
            "telephone_number": "412-360-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 2ND ST",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022956",
            "telephone_number": "412-360-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "HEATHER",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Volpe, RN
• Bethany Joy Vowinckel
• Anuradha Wadekar, PSYD
• Kyle W Wagner, LPC
• Walgreen Co (Walgreens #11296)
• Walter T. Tillman Inc
• Kimberly Ann Ward, LMHC-FL AND LPC-TX
• Kristin Ware, PHARMD
• Kambria Warnock, DNP, CRNP, FNP-BC
• Joel David Warshaw, M.D.

• Clinical Social Worker in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.