Individual provider Active NPI

Heather Hermanson, LISW

  • Clinical Social Worker
  • Grimes, IA
National Provider Identifier
1487214003
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096036 Issued in IA
Practice address
1220 NE Station Xing
Grimes, IA 50111-8013
Phone
(515) 505-3321
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096036 IA Primary

Addresses

Primary practice location

1220 NE Station Xing
Grimes, IA 50111-8013

Mailing address

1220 NE Station Xing Ste 210
Grimes, IA 50111-8013
Phone (515) 505-3321

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather@cultivatecaim.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
096036IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caim Counseling, PLLC Clinical CurrentSince Feb 19, 2023 Accepting new patients

Locations

1220 NE Station Xing
Grimes, IA 50111
Phone (515) 505-3321

1220 NE Station Xing
Ste 210
Grimes, IA 50111

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1487214003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE STATION XING STE 210",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118013",
            "telephone_number": "515-505-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE STATION XING",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118013",
            "telephone_number": "515-505-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSON",
        "first_name": "HEATHER",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "096036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@cultivatecaim.com",
            "affiliation": "N",
            "address_1": "1220 NE Station Xing",
            "city": "Grimes",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501118013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.