Individual provider Active NPI

Heather Heilman, MSW

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1801994512
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083637 Issued in MI
Practice address
628 N Main St # 21
Royal Oak, MI 48067-1834
Phone
(248) 752-8019
Fax
(248) 554-0200
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 6801083637 MI Primary

Addresses

Primary practice location

628 N Main St # 21
Royal Oak, MI 48067-1834

Mailing address

408 E Farnum Ave
Royal Oak, MI 48067-3676
Phone (248) 752-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050603000713 MI Practitioner - Clinical Social Worker 6709829435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

628 N Main St
Suite 21
Royal Oak, MI 48067-1834
Phone (248) 752-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801083637MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heilman Healing, LLC Clinical CurrentSince May 22, 2016 Accepting new patients

Locations

37899 W 12 Mile Rd
Ste 100
Farmington Hills, MI 48331

628 N Main St
#21
Royal Oak, MI 48067
Phone (248) 752-8019

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1801994512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E FARNUM AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673676",
            "telephone_number": "248-752-8019",
            "fax_number": "248-554-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N MAIN ST # 21",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671834",
            "telephone_number": "248-752-8019",
            "fax_number": "248-554-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "HEATHER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.