Sally Katherine Hetrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW24279 Issued in FL

Practice address

903 N 60TH Ave
Pensacola, FL 32506-4621

Phone

(850) 424-8295

Fax

(850) 424-8296

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sally Katherine Weschler Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1821706474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N 60TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064621",
            "telephone_number": "850-424-8295",
            "fax_number": "850-424-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 60TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064621",
            "telephone_number": "850-424-8295",
            "fax_number": "850-424-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24409 Newport Rd",
            "address_purpose": "LOCATION",
            "city": "Robertsdale",
            "state": "AL",
            "postal_code": "365672841",
            "country_code": "US",
            "telephone_number": "251-424-7927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "SALLY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4529C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "WESCHLER",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Hess, COTA
• Donald Hess, PA
• Teresa Joy Hess, LMHC
• Tricia Elethia Bradley Hess, D.M.D.
• Mary Josephine Hessert, DO, MPH
• Costin Marian James Hewitt
• Zoe Ingalis Hibyan, C.R.N.A.
• Bradley William Hickey, M.D.
• Julia Ann Hickey
• Adam Joseph Hicks

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.