Heather A Black-Bicknell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026875 Issued in IL

Practice address

909 E Locust St
Bloomington, IL 61701-3326

Phone

(309) 620-3351

NPI assigned

Mar 22, 2024

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Adele Bicknell Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nexumhc Consultants, PLLCGroup PAC ID 5698134005, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nexumhc Consultants, PLLC

  • Clinical Social Worker
  • Lincolnwood, IL
  • NPI 1851082598
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL

  Medicare reassignment

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1467212670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E LOCUST ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013326",
            "telephone_number": "309-620-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E LOCUST ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013326",
            "telephone_number": "309-620-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK-BICKNELL",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BICKNELL",
            "middle_name": "ADELE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Bing, OT
• Biomorph Labs Inc.
• Angela Sue Birdsell, APN
• Eric Birky, OD
• Elizabeth Bischoff, PT
• Alexandria Blackmon-Nelson
• Hannah Bland
• Dawn Blocklinger Campos, RD, LDN
• Eva J Bloda, DDS
• Bloomington Chiropractic Center, LTD.

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.