Heather Heritage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9549-123 Issued in WI

Practice address

5168 Honpie Rd
Placerville, CA 95667-8682

Phone

(530) 387-4975

NPI assigned

Jan 23, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Shingle Springs Rancheria

  • Health Service Clinic/Center
  • Placerville, CA
  • NPI 1245356674
  NPD
• Abg Wellness Group Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1184087389
  NPD
• Gateways Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marshfield, WI
  • NPI 1811489206
  NPD
• Holistic Counseling Services, LLC

  • Professional Counselor
  • Beloit, WI
  • NPI 1033773734
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1770047839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678682",
            "telephone_number": "530-387-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678682",
            "telephone_number": "530-387-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERITAGE",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9549-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "128160-121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085082",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waleed Helal
• David Hellerstein, MD
• Daniel S Helm, D. C.
• Stanley C Henjum II, M.D.
• Marlene Marie Hensley, LCSW
• Carol Anne Herrlie, RN, FNP
• Deborah Krista Herron
• Lori S Heuser, PA-C
• Laurie Ann Hicklin
• Jannavie Dawn Hickman, M.A.

• Clinical Social Worker in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.