Heron Ridge Associates PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801021651 Issued in MI

Legal business name

HERON RIDGE ASSOCIATES PLC

Practice address

31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321

Phone

(248) 594-4991

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Elliott Richelson, M.D.

Title

President, Secretary, Treasurer

Phone

(904) 605-4986

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1447357140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-322-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254321",
            "telephone_number": "248-594-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3694 Clarkston Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483485213",
            "country_code": "US",
            "telephone_number": "248-693-8880 x63",
            "fax_number": "248-391-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 S Main St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701060",
            "country_code": "US",
            "telephone_number": "734-454-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERON RIDGE ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "RICHELSON",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "904-605-4986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801021651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "463240",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "10605",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Herbon, RD
• Heritage Labs, Inc.
• Heritage Labs, Inc.
• Raquel Hernandez-Snyder
• Kassandra Hernandez
• Heron Ridge Associates, PLC
• Troy Ray Herrick-Thomason
• Kiara Parshel Herrick
• Dejanae Latia Herriote-Ruseell
• Nakya D Herriotte

• Clinical Social Worker in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.