Peter Heck, LCSW
Individual provider Active NPI Clinical Social Worker · Scotia, CA
NPI 1629520507 · NPPES record last updated Sep 16, 2019
Key facts
- NPI
- 1629520507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW86760 (CA)
- Practice address
- 500 B Street
Scotia, CA 95565 - Phone
- (707) 764-5617
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Psychological Services Inc
Practice addresses (Care Compare)
3633 Inland Empire Blvd
Suite 777
Ontario, CA 91764-7974
Phone (909) 295-5805
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191010001058 | CA | Practitioner - Clinical Social Worker | 2860769635 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW86760 | CA | MD | Clinical Social Worker |
| CSW.09924313 | CO | MD | Clinical Social Worker |
| LCSW-986 | WY | MD | Clinical Social Worker |
| 83127 | CA | MD | Pharmacist |
| 86760 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wecare Group, Inc. | Current |
Accepting new patients | |
| Southern Trinity Health Services | Current |
Accepting new patients | |
| Thrive Psychological Services Inc | Current |
Accepting new patients | |
| The Wecare Group, Inc. | Past | Accepting new patients |
Locations
321 Van Duzen Rd
Mad River, CA 95526
Phone (707) 296-8060
3633 Inland Empire Blvd
Ste 777
Ontario, CA 91764
Phone (909) 235-5662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 83127 | CA | |
| Clinical Social Worker | 1041C0700X | CSW.09924313 | CO | |
| Clinical Social Worker | 1041C0700X | LCSW-986 | WY | |
| Clinical Social Worker | 1041C0700X | LCSW86760 | CA | Yes |
Addresses
Primary practice location
500 B Street
Scotia, CA 95565
Mailing address
500 B Street
Scotia, CA 95565
Other providers in Scotia, CA
- Daniel Bywater
- Ashley Christina
- Breanna J Hendershot
- Mark Allen Hise
- Palco Pharmacy a Corp
- George Dennis Peck
- Merilyn Dunn Ross
All providers in Scotia, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.