Heather Lynn Surber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3661C Issued in AL

Practice address

9238 Madison Blvd Ste 116
Madison, AL 35758-9112

Phone

(256) 542-3288

Fax

(256) 542-3289

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Heather Lynn Martin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Loyola University of Chicago, Stritch School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Heather Surber Licsw LLC

  • Community/Behavioral Health Agency
  • Madison, AL
  • NPI 1699442764
  Medicare reassignment NPD Authorized official
• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  NPD
• Resurrection Health

  • Community Health Clinic/Center
  • Memphis, TN
  • NPI 1295136349
  NPD
• Mental Health Center of North Central Alabama

  • Community/Behavioral Health Agency
  • Decatur, AL
  • NPI 1780859314
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1467580688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD STE 116",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589112",
            "telephone_number": "256-542-3288",
            "fax_number": "256-542-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD STE 116",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589112",
            "telephone_number": "256-542-3288",
            "fax_number": "256-542-3289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Highway 31 South",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "35603",
            "country_code": "US",
            "telephone_number": "256-260-7361",
            "fax_number": "256-341-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURBER",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1564C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3661C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@madisoncounselingassociates.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9238 Madison Blvd Ste 116",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357589112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MARTIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Monique Sullivan-Smith, LMHC
• Rachel Renay Sullivan
• Veronica Harkness Sullivan, PMHNP-BC, DNP
• Drew Matthew Sumrall, DDS
• Kresta Lee Sunderman, CRNP
• Daniel Donald Swartz, M.D.
• Jacqueline Y Sylvester, M.D. F.A.C.O.G
• Catherine W Tackett, RPH
• John T Tackett, RPH
• Karen Francis Taff

• Clinical Social Worker in Madison, AL
• Providers in Madison, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.