Active NPI
Heather Groom LLC
Doing business as Heather Groom LCSW Counseling Services
- Clinical Social Worker
- Saint Marys, GA
National Provider Identifier
1790677706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEATHER GROOM LLC
- Doing business as
- Heather Groom LCSW Counseling Services
- Practice address
- 4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402 - Phone
- (843) 513-4935
- Fax
- (912) 729-4626
- NPI assigned
- Jul 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Marie Groom, LCSW
- Title
- Owner
- Phone
- (843) 513-4935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Mailing address
4499 Ga Highway 40 E Ste a
Saint Marys, GA 31558-9402
Phone (843) 513-4935
Other names 1
- Heather Groom LCSW Counseling Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saint Marys, GA
- NPI 1861188096
-
- Clinical Social Worker
- Saint Marys, GA
- NPI 1144300591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1790677706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 GA HIGHWAY 40 E STE A",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315589402",
"telephone_number": "843-513-4935",
"fax_number": "912-729-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 GA HIGHWAY 40 E STE A",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315589402",
"telephone_number": "843-513-4935",
"fax_number": "912-729-4626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHER GROOM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "GROOM",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-513-4935",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heather Groom LCSW Counseling Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.