Heather Thornton, LLMSW
Individual provider Active NPI Social Worker · Newberry, MI
NPI 1710694328 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1710694328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6851115097 (MI)
- Practice address
- 502 W Harrie St
HNJH Behavioral Health Suite
Newberry, MI 49868-4986 - Phone
- (906) 356-3079
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5454 County Rd
Suite 457
Newberry, MI 49868
5454 County Rd
Suite 457
Newberry, MI 49868-7775
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220001413 | MI | Practitioner - Clinical Social Worker | 0042660870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115097 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Pine Run LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851115097 | MI | |
| Social Worker | 104100000X | 6851115097 | MI | Yes |
Addresses
Primary practice location
502 W Harrie St
HNJH Behavioral Health Suite
Newberry, MI 49868-4986
Mailing address
5454 County Road 457
Newberry, MI 49868-7775
Phone (906) 698-2961
Other providers in Newberry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.