Individual provider Active NPI

Heather Croft, LCSW

  • Clinical Social Worker
  • Ammon, ID
National Provider Identifier
1699345579
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861600 Issued in ID
Practice address
1675 Curlew Dr
Ammon, ID 83406-4850
Phone
(208) 523-5319
Fax
(208) 523-5627
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8861600IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Resilience PLLC Clinical CurrentSince Jun 23, 2025 Accepting new patients

Locations

482 Constitution Way
Ste B1
Idaho Falls, ID 83402
Phone (208) 557-8180

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8861600 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

1675 Curlew Dr
Ammon, ID 83406-4850

Mailing address

429 6TH St
Idaho Falls, ID 83401-4708
Phone (208) 557-8180

Other practice location 1

429 6th St
Idaho Falls, ID 83401-4708
Phone (208) 557-8180

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2025.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1699345579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 6TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014708",
            "telephone_number": "208-557-8180",
            "fax_number": "855-582-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064850",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 6th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834014708",
            "country_code": "US",
            "telephone_number": "208-557-8180",
            "fax_number": "855-582-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROFT",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.