Heidi Annette Blackstun, MSW, LCSW, MBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001024582 Issued in MO

Practice address

2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882

Phone

(573) 289-8144

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

University of Missouri, Columbia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

• H B Therapeutic Services, LLC

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1679594535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1821028895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CALEDON CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038458",
            "telephone_number": "573-289-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-289-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTUN",
        "first_name": "HEIDI",
        "middle_name": "ANNETTE",
        "credential": "MSW, LCSW, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001024582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Black, M.D.
• Nicole Black, LCSW
• Janna Blackburn, RN
• Joel M Blackburn, D.O.
• Jameson Tanner Blackford, PHARMD
• Deborah Ann Blain, CHIROPRACTOR
• Brian Wesley Blair
• Jerry R Blair, M.D., PH.D.
• Mallory E Blair, PMHNP-BC
• Megan Renee Blakemore, PA-C

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.