Individual provider Active NPI

Heather D. R. Clevinger, LCSW

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1801163605
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009285 Issued in NC
Practice address
217 Austin View Blvd
Wake Forest, NC 27587-8343
Phone
(984) 269-2329
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 C009285 NC Primary

Addresses

Primary practice location

217 Austin View Blvd
Wake Forest, NC 27587-8343

Mailing address

217 Austin View Blvd
Wake Forest, NC 27587-8343
Phone (984) 269-2329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522002205 NC Practitioner - Clinical Social Worker 4082056098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

5960 Fairview Rd
Suite 400
Charlotte, NC 28210-3119
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009285NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Apr 8, 2024 Accepting new patients
Total Life FL PA CurrentSince Sep 1, 2025 Accepting new patients
Baart Community Healthcare Past Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (833) 356-6732

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1801163605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 AUSTIN VIEW BLVD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878343",
            "telephone_number": "984-269-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 AUSTIN VIEW BLVD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878343",
            "telephone_number": "984-269-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVINGER",
        "first_name": "HEATHER",
        "middle_name": "D. R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.