Individual provider Active NPI

Peggy Osna Heller, MSW PHD

  • Social Worker
  • Potomac, MD
National Provider Identifier
1417927245
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
05043 Issued in MD
Practice address
7715 Whiterim Ter
Potomac, MD 20854-1775
Phone
(301) 983-3392
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 05043 MD Primary

Addresses

Primary practice location

7715 Whiterim Ter
Potomac, MD 20854-1775

Mailing address

7715 Whiterim Ter
Potomac, MD 20854-1775
Phone (301) 983-3392

Other identifiers 1

IdentifierTypeStateIssuer
Q837PO27OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100324000885 DC Practitioner - Clinical Social Worker 7810023207 Practice locations: Potomac, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05043MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1417927245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 WHITERIM TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541775",
            "telephone_number": "301-983-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 WHITERIM TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541775",
            "telephone_number": "301-983-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "PEGGY",
        "middle_name": "OSNA",
        "name_prefix": "Ms.",
        "credential": "MSW PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "05043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Q837PO27",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.