Individual provider Active NPI

Heather S Thiels, LCSW

  • Clinical Social Worker
  • Pineville, LA
National Provider Identifier
1679719603
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5359 Issued in LA
Practice address
242 West Shamrock Avenue
Pineville, LA 71360
Phone
(318) 484-6850
Fax
(318) 484-6506
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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 5359 LA Primary

Addresses

Primary practice location

242 West Shamrock Avenue
Pineville, LA 71360

Mailing address

242 West Shamrock Avenue
Pineville, LA 71360
Phone (318) 484-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160523002179 LA Practitioner - Clinical Social Worker 0042509515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central la Human Services DistrictGroup PAC ID 7618105529, 25 clinicians

Practice addresses (Care Compare)

5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone (318) 484-6850

694 Government St
Marksville, LA 71351-2945
Phone (318) 253-9638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5359LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central la Human Services District CurrentSince Apr 16, 2016 Accepting new patients
Central la Human Services District Current Accepting new patients
Central la Human Services District CurrentSince Apr 16, 2016 Accepting new patients

Locations

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850

2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553

105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

Organizations & group practices 3

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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1679719603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK AVENUE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6850",
            "fax_number": "318-484-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK AVENUE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6850",
            "fax_number": "318-484-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELS",
        "first_name": "HEATHER",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.