Sharon Kay Heisdorffer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

096004 Issued in IA

Practice address

1003 Cottonwood Rd
Creston, IA 50801-1012

Phone

(641) 782-8457

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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.

• Crossroads Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
  • NPI 1578531877

  IA

  Medicare reassignment Care Compare group NPD
• Grace C Mae Advocate Center, Inc

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1700018405

  IA

  Medicare reassignment Care Compare group
• Crossroads Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
  • NPI 1053694802
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Behavioral Health Services 3 clinicians

Grace C Mae Advocate Center, Inc 6 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2019.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1467095984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011012",
            "telephone_number": "641-782-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011012",
            "telephone_number": "641-782-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISDORFFER",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "096004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gutmann, CRNA
• Hammer Incorporated
• Joseph Edward Hart, MD
• Kenneth Charles Hayes, LMSW
• Miranda R Hays, BA
• Jessica L. Hemann, MA/CCC-SLP
• Elizabeth Marie Hensley, ARNP
• Barbara Ann Herr, LMHC
• Laura E Hickman, PT
• Larry W. Hicks, OD

• All providers in Creston, IA
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.