December L Heffernan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007012 Issued in CT

Practice address

165 State St Ste 200
New London, CT 06320-6304

Phone

(860) 443-0036

Fax

(860) 439-6423

NPI assigned

Sep 30, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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.

• Sound Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1396700886
  NPD (past)
• Urologic Associates, PC

  • Urology Physician
  • New London, CT
  • NPI 1740362730
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1871827378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 STATE ST STE 200",
            "address_2": "P.O. BOX 2170",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206304",
            "telephone_number": "860-443-0036",
            "fax_number": "860-439-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 STATE ST STE 200",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206304",
            "telephone_number": "860-443-0036",
            "fax_number": "860-439-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "DECEMBER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heal-Helping Everyone Accept and Adapt to Life
• Healing Embraced LLC
• Healthcare Visions, Inc.
• John P Heck, ATC
• Rebekah Heckmann
• Helar Campos MD & Associates Family Medical Center, LLC
• Lindsay Lee Helfrich, LADC
• Linda Heller, L.C.S.W.
• Richard Miller Hellman, M.D.
• Heidi L Hemstock, CRNA

• Clinical Social Worker in New London, CT
• Providers in New London, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.