Heidi Dawn Connors-Boccomino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087489 Issued in MI

Practice address

37400 Garfield Rd Ste 130
Clinton Township, MI 48036-3648

Phone

(586) 850-2802

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stepping Stones Counseling Center, PLLCGroup PAC ID 4688978604, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stepping Stones Counseling Center, PLLC

  • Clinical Social Worker
  • Chesterfield, MI
  • NPI 1568835924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1639796972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40449 MOUNT VERNON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135343",
            "telephone_number": "586-850-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD STE 130",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-850-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS-BOCCOMINO",
        "first_name": "HEIDI",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connections Counseling Center
• Amy Connelly, LPC
• Jill Connelly
• Amy Elizabeth Conniff, LPC
• Amanda Rae Connolly, DO
• Convergence Counseling and Consulting, LLC
• Rachel Conway, LLMSW
• Lervetris Cook
• Wayneisha Cook
• Bobbi-Rhea Balan Cooper

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.