Individual provider Active NPI

Heidi Wringer, , LCSW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1386773216
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005625 A Issued in IN
Practice address
227 N Dixie Way
Ste 130
South Bend, IN 46637-3300
Phone
(574) 952-3651
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005625A IN
Clinical Social Worker 1041C0700X 34005625 A IN Primary

Addresses

Primary practice location

227 N Dixie Way
Ste 130
South Bend, IN 46637-3300

Mailing address

227 N Dixie Way
Ste 130
South Bend, IN 46637-3300
Phone (574) 952-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191022000495 IN Practitioner - Clinical Social Worker 8426105701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 N Dixie Way
Suite 130
South Bend, IN 46637-3300
Phone (574) 952-3651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005625 AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Wringer, LCSW Moving Forward Counseling Services Clinical CurrentSince Sep 3, 2019 Accepting new patients

Locations

227 N Dixie Way
Ste 130
South Bend, IN 46637
Phone (574) 952-3651

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1386773216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N DIXIE WAY",
            "address_2": "STE 130",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373300",
            "telephone_number": "574-952-3651",
            "fax_number": "574-287-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N DIXIE WAY",
            "address_2": "STE 130",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373300",
            "telephone_number": "574-952-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRINGER",
        "first_name": "HEIDI",
        "credential": ", LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005625A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005625 A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.