Individual provider Active NPI

Heather Howard, LCSWA

  • Clinical Social Worker
  • Bolivia, NC
National Provider Identifier
1407207657
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012060 Issued in MD
Practice address
10 Referendum Dr NE
Bolivia, NC 28422-7579
Phone
(910) 253-5801
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 C012060 MD Primary

Addresses

Primary practice location

10 Referendum Dr NE
Bolivia, NC 28422-7579

Mailing address

303 Stuart Ave
Southport, NC 28461-3051
Phone (910) 918-1378

Other practice location 1

925 N 4th St
Wilmington, NC 28401-3450
Phone (910) 343-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181113002385 NC Practitioner - Clinical Social Worker 8426302373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

925 N 4TH St
Wilmington, NC 28401-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012060MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Hanover Community Health Center Incorporated CurrentSince Jan 14, 2024 Accepting new patients
New Hanover Community Health Center Incorporated CurrentSince Sep 10, 2018 Accepting new patients

Locations

925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690

240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656

Organizations & group practices 2

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1407207657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 STUART AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613051",
            "telephone_number": "910-918-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 REFERENDUM DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284227579",
            "telephone_number": "910-253-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284013450",
            "country_code": "US",
            "telephone_number": "910-343-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "HEATHER",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "C012060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.