Amy Dawn Hedderman, MSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16905 Issued in MD

Practice address

11679 Emerald Green Dr
Clarksburg, MD 20871-5337

Phone

(301) 704-3598

NPI assigned

Aug 4, 2011

Last updated

Apr 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Behavioral Health Services PCGroup PAC ID 4082041637, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Greenbelt, MD
  • NPI 1881233872

  DC

  Medicare reassignment Care Compare group NPD
• Hefuna Mental Health Wellness LLC

  • Psychiatry Physician
  • Gaithersburg, MD
  • NPI 1629470547

  DC

  Medicare reassignment
• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Frederick, MD
  • NPI 1427677061
  Medicare reassignment

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1689953994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11679 EMERALD GREEN DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715337",
            "telephone_number": "301-704-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11679 EMERALD GREEN DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715337",
            "telephone_number": "301-704-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDERMAN",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16905",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Teeter, LLC (Harris Teeter #409)
• Hasanat Mental Health Care, LLC
• Leigh C. Hause-Alvarado, LMHC, LPC, NCC
• Health Services Provider Solutions LLC
• Heartfelt Health Homecare LLC
• Dema Hilmi, DMD
• Tamima Hossain, D.O.
• Jennifer Hunt, NONE
• Glen M Imamura, DDS
• Imqra LLC

• Clinical Social Worker in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.