Individual provider Active NPI

Aaron William Heffernan, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1609887546
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7170-123 Issued in WI
Practice address
1212 S 70TH St
Milwaukee, WI 53214-3105
Phone
(414) 453-1400
Fax
(414) 453-2538
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 7170-123 WI Primary

Addresses

Primary practice location

1212 S 70TH St
Milwaukee, WI 53214-3105

Mailing address

1212 S 70TH St
Milwaukee, WI 53214-3105
Phone (414) 453-1400

Other identifiers 1

IdentifierTypeStateIssuer
40988700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150429001571 WI Practitioner - Clinical Social Worker 8628397452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Services, Inc.Group PAC ID 6608828819, 8 clinicians

Practice addresses (Care Compare)

1300 N Jackson St
Milwaukee, WI 53202-2602
Phone (414) 390-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services, Inc. CurrentSince Dec 8, 2014 Accepting new patients

Locations

5900 N Port Washington Rd
#200
Milwaukee, WI 53217
Phone (414) 390-5800

1300 N Jackson St
Milwaukee, WI 53202
Phone (414) 390-5800

Organizations & group practices 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609887546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143105",
            "telephone_number": "414-453-1400",
            "fax_number": "414-453-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143105",
            "telephone_number": "414-453-1400",
            "fax_number": "414-453-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "AARON",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7170-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40988700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.