Stacia Heller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005102 Issued in CT

Practice address

350 South Main Street , Suite 23
The Republic Building
Cheshire, CT 06410-3160

Phone

(203) 271-1234

Fax

(203) 272-9094

NPI assigned

Nov 1, 2010

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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.

• Liberty Integrated Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Britain, CT
  • NPI 1417483165
  Medicare reassignment NPD
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Medicare reassignment NPD
• Middlesex Hospital

  dba Middlesex Hospital Homecare and Hospice

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233
  NPD
• Adolescent & Family Counseling Center, LLC

  • Clinical Social Worker
  • Cheshire, CT
  • NPI 1811906241
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1568762920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "address_2": "THE REPUBLIC BUILDING",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTH MAIN STREET , SUITE 23",
            "address_2": "THE REPUBLIC BUILDING",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "STACIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward John Hayes Jr.
• Healing Springs Wellness Center, LLC
• Heart and Crown Healing, LLC
• Heartwell LLC
• Reinhold W Hekeler, MSW
• Cathryn Grace Hendricks, MS CCC SLP
• Henry L. Goldstein, Psy.D., LLC
• Herbert M. Karpelman, Jr., D.P.M.
• Here and Now Counseling Services LLC
• Jennifer Hernandez-Ortiz

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.