Individual provider Active NPI

Heather Mauldin

  • Social Worker
  • Redding, CA
National Provider Identifier
1588835458
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1170 Industrial St
Redding, CA 96002-0734
Phone
(530) 722-9957
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1170 Industrial St
Redding, CA 96002-0734

Mailing address

1170 Industrial St
Redding, CA 96002-0734

Other practice location 1

4111 Black Pine Rd
Cottonwood, CA 96022-9116
Phone (530) 803-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180522002261 CA Practitioner - Clinical Social Worker 9335404342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creekside Counseling Center IncGroup PAC ID 1557683315, 16 clinicians

Practice addresses (Care Compare)

1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957

4111 Black Pine Rd
Cottonwood, CA 96022-9116
Phone (530) 803-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Center Inc CurrentSince Apr 2, 2018 Accepting new patients
Heathermauldinlcsw LLC CurrentSince May 24, 2023 Accepting new patients

Locations

1170 Industrial St
Redding, CA 96002
Phone (530) 722-9957

Organizations & group practices 2

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1588835458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020734",
            "telephone_number": "530-722-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Black Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "CA",
            "postal_code": "960229116",
            "country_code": "US",
            "telephone_number": "530-803-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.