Individual provider Active NPI

Heather Rena Sherry, LMSW

  • Clinical Social Worker
  • Leonard, MI
National Provider Identifier
1629419395
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094304 Issued in MI
Practice address
450 Brewer Rd
Leonard, MI 48367-4008
Phone
(586) 604-3685
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 6801094304 MI Primary

Addresses

Primary practice location

450 Brewer Rd
Leonard, MI 48367-4008

Mailing address

827 Hemlock Dr
Oxford, MI 48370-2717
Phone (586) 604-3685

Other names 1

  • Heather Rena McKay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210426002077 MI Practitioner - Clinical Social Worker 1759799000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caring Connections Counseling LLCGroup PAC ID 5890145999, 2 clinicians

Practice addresses (Care Compare)

450 Brewer Rd
Leonard, MI 48367-4008
Phone (586) 944-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Therapy LLC Clinical CurrentSince Apr 21, 2021 Accepting new patients
Caring Connections Counseling, LLC Clinical CurrentSince Aug 11, 2023 Accepting new patients
Carlene J Brockert LLC Past Accepting new patients
Consumer Services, Inc. Clinical Past Accepting new patients

Locations

450 Brewer Rd
Leonard, MI 48367
Phone (586) 604-3685

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1629419395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 HEMLOCK DR",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483702717",
            "telephone_number": "586-604-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BREWER RD",
            "city": "LEONARD",
            "state": "MI",
            "postal_code": "483674008",
            "telephone_number": "586-604-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "HEATHER",
        "middle_name": "RENA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCKAY",
            "middle_name": "RENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonard, MI

Sources for this page

Verify at the official NPI Registry.