Individual provider Active NPI

Heather W Hyatt, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Freeport, ME
National Provider Identifier
1770818817
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10108 Issued in ME
Practice address
23 Durham Rd
Freeport, ME 04032-6795
Phone
(207) 869-4022
Fax
(207) 869-4077
NPI assigned
Oct 7, 2009
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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 LC10108 ME Primary

Addresses

Primary practice location

23 Durham Rd
Freeport, ME 04032-6795

Mailing address

180 Verrill Rd
Pownal, ME 04069-6321
Phone (207) 740-6216

Other names 1

  • Heather M. Wheelock Hyatt Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10108MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1770818817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 VERRILL RD",
            "city": "POWNAL",
            "state": "ME",
            "postal_code": "040696321",
            "telephone_number": "207-740-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DURHAM RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326795",
            "telephone_number": "207-869-4022",
            "fax_number": "207-869-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "HEATHER",
        "middle_name": "W",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HYATT",
            "middle_name": "M. WHEELOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.