Ammiel Renae Heim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22593 Issued in AZ

Practice address

333 E Roosevelt St Apt 103
Phoenix, AZ 85004-1943

Phone

(580) 763-0392

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

University of Oklahoma College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winslow Memorial Hospital IncGroup PAC ID 8628988409, 44 clinicians

Franklin County Medical CenterGroup PAC ID 8820909104, shared by 2 NPIs, 25 clinicians

Ponderosa Family Care LLCGroup PAC ID 1456548015, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amie.heim.1@17373.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBDA

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.

• Ponderosa Family Care, LLC

  • Internal Medicine Physician
  • Payson, AZ
  • NPI 1144535626
  Medicare reassignment Care Compare group NPD
• Winslow Memorial Hospital Inc

  dba Little Colorado Medical Center

  • Critical Access Hospital
  • Winslow, AZ
  • NPI 1477653889
  Medicare reassignment Care Compare group NPD
• Ponderosa Family Care, LLC

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1992321723
  NPD
• Winslow Memorial Hospital Inc

  dba Little Colorado Physicians Office

  • General Practice Physician
  • Winslow, AZ
  • NPI 1538321674
  NPD
• Franklin County Medical Center

  dba FCMC Medical Clinic

  • Rural Health Clinic/Center
  • Preston, ID
  • NPI 1144663543
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1619798246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ROOSEVELT ST APT 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041943",
            "telephone_number": "580-763-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E ROOSEVELT ST APT 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041943",
            "telephone_number": "580-763-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "AMMIEL",
        "middle_name": "RENAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "1361275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidrich, MD
• Maureen Bridget Heier, LPC
• James F Heil Jr., PA-C
• Robert Heiligenberg, MSN, PMHNP-BC
• Anya Heiliger, RN
• Jennifer Ashley Heim, M.D.
• William J. Heimann, D.D.S.
• Alex Michael Heimbigner, M.D.
• Marie S Heimerdinger, PTA
• Dion Kris Heimink Jr., PT

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.