Individual provider Active NPI

Lauren Rose Hetzler, LCSW

  • Clinical Social Worker
  • Colonial Heights, VA
National Provider Identifier
1598438897
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011556 Issued in VA
Practice address
84 Southgate SQ # 1144
Colonial Heights, VA 23834-3611
Phone
(804) 638-9902
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 0904011556 VA Primary

Addresses

Primary practice location

84 Southgate SQ # 1144
Colonial Heights, VA 23834-3611

Mailing address

84 Southgate SQ # 1144
Colonial Heights, VA 23834-3611
Phone (804) 638-9902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20240216002720 GA Practitioner - Clinical Social Worker 4486002813
I20240304003954 DC Practitioner - Clinical Social Worker 4486002813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Purposeful Seasons Counseling, PLLC Clinical Current Accepting new patients
Fig Tree Therapy Past Accepting new patients

Locations

84 Southgate Sq
Colonial Heights, VA 23834
Phone (804) 324-6822

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1598438897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SOUTHGATE SQ # 1144",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343611",
            "telephone_number": "804-638-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SOUTHGATE SQ # 1144",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343611",
            "telephone_number": "804-638-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "LAUREN",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.