Jennifer R Hedrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

608 Ruby Dr
Fort Collins, CO 80525-4280

Phone

(970) 213-0199

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1598948457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 RUBY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254280",
            "telephone_number": "970-213-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 RUBY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254280",
            "telephone_number": "970-213-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16031768",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Therese Hecker, CRNA
• Thomas M Hecker, DPM
• Eric Christopher Heckman, PA-C
• Ashley Hedding, RN
• Heidi A Hedrick, MS
• John Robert Hedstrom, D.P.T.
• Christine Heess, OTR/L
• Shawn-Patrick Hegner, PHARMD
• Alix Hegy
• Kaitlin Heidt

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.