Individual provider Active NPI

Katherine Heeg, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1497833776
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R079147 Issued in NY
Practice address
135 E 50TH St Apt 108C
New York, NY 10022-7517
Phone
(646) 285-4343
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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 R079147 NY Primary

Addresses

Primary practice location

135 E 50TH St Apt 108C
New York, NY 10022-7517

Mailing address

135 E 50TH St Apt 108C
New York, NY 10022-7517
Phone (646) 285-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20140221001051 NY Practitioner - Clinical Social Worker 3577510296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 E 50TH St
Apt 109
New York, NY 10022-7517
Phone (646) 285-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R079147NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Your Full Potential, LCSW, PLLC Clinical CurrentSince Sep 28, 2012 Accepting new patients
Center for Psychological Services of Somerset County Clinical Past Accepting new patients
Center for Psychological Services Past Accepting new patients

Locations

135 E 50th St
Apt 109
New York, NY 10022
Phone (212) 421-3487

Organizations & group practices 3

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1497833776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 50TH ST APT 108C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227517",
            "telephone_number": "646-285-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 50TH ST APT 108C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227517",
            "telephone_number": "646-285-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEG",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R079147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.