Heidi McCormack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257066 Issued in KY

Practice address

263 Huntsville Quality Rd Ste a
Morgantown, KY 42261-7395

Phone

(270) 934-2024

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McCormack & Associates, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bowling Green, KY
  • NPI 1518818939
  NPD Authorized official
• Kentucky Christian Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Morgantown, KY
  • NPI 1386287837
  NPD

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1649991787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HUNTSVILLE QUALITY RD STE A",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617395",
            "telephone_number": "270-934-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 HUNTSVILLE QUALITY RD STE A",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617395",
            "telephone_number": "270-934-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Lee
• Limitless Minds LLC.
• Shannon Logan
• LP Morgantown LLC
• Tamara R Lynch, MS, CCC-SLP
• Jordan N Moore
• Morgantown Prescription Center LLC
• Morgantown Transportation Center
• Alyssa Newton
• Shannon Ryan Nottingham, LCSW

• Clinical Social Worker in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.