Individual provider Active NPI

Barbara Helen Hiestand, LCSW

  • Clinical Social Worker
  • Bowling Green, VA
National Provider Identifier
1639476989
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002562 Issued in VA
Practice address
102 West Broaddus Ave. Ste. 200
Bowling Green, VA 22427
Phone
(804) 632-1030
Fax
(804) 632-1033
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 0904002562 VA Primary

Addresses

Primary practice location

102 West Broaddus Ave. Ste. 200
Bowling Green, VA 22427

Mailing address

102 West Broaddus Ave. Ste. 200
Bowling Green, VA 22427
Phone (804) 632-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20111214000920 VA Practitioner - Clinical Social Worker 3577738822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

102 W Broaddus Ave
Suite 200
Bowling Green, VA 22427-9404
Phone (804) 632-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Jul 11, 2016 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Jul 11, 2016 Accepting new patients
Vernon J Harris East End Community Health Center Past Accepting new patients

Locations

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

321 Poplar Dr
Ste C
Petersburg, VA 23805
Phone (804) 733-5591

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1639476989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WEST BROADDUS AVE. STE. 200",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-632-1030",
            "fax_number": "804-632-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST BROADDUS AVE. STE. 200",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-632-1030",
            "fax_number": "804-632-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIESTAND",
        "first_name": "BARBARA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, VA

Sources for this page

Verify at the official NPI Registry.