Lewis Brightheart Headrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09924410 Issued in CO

Practice address

4011 Burr Oak Dr
Loveland, CO 80538-2285

Phone

(970) 391-7220

NPI assigned

May 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Metta Services LLC

  • Clinical Social Worker
  • Loveland, CO
  • NPI 1669991683
  NPD (past) Authorized official
• BSLC Loveland, LLC

  dba Park Regency Loveland

  • Assisted Living Facility
  • Loveland, CO
  • NPI 1447666102
  NPD (past)
• Loveland House Assisted Living

  • Preferred Provider Organization
  • Loveland, CO
  • NPI 1114114097
  NPD (past)
• On Site Dermatology of Colorado PLLC

  • Dermatology Physician
  • Salida, CO
  • NPI 1073856050
  NPD (past)

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871904003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BURR OAK DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382285",
            "telephone_number": "970-391-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BURR OAK DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382285",
            "telephone_number": "970-391-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Duffield Ct",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375228",
            "country_code": "US",
            "telephone_number": "303-278-7418 x102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 Kestrel Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800272573",
            "country_code": "US",
            "telephone_number": "303-278-7418 x102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 19th St SE",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805377349",
            "country_code": "US",
            "telephone_number": "303-278-7418 x102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Wheaton Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805259481",
            "country_code": "US",
            "telephone_number": "303-278-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Georgetown Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805386847",
            "country_code": "US",
            "telephone_number": "303-278-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1428 1/2 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805383931",
            "country_code": "US",
            "telephone_number": "303-278-7418 x102",
            "fax_number": "888-341-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Fall River Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384412",
            "country_code": "US",
            "telephone_number": "303-278-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 Lochwood Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255782",
            "country_code": "US",
            "telephone_number": "303-278-7418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "LEWIS",
        "middle_name": "BRIGHTHEART",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009920312",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS",
            "identifier": "CSW.09924410",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "LSW.0009920312",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Taylor Haynes, OTD, OTR/L
• Magan L Hays, N.P.
• HD Career Consulting LLC (WorkLife Wellness Lab)
• Sherri Head
• Adam Headlee, MA, CCC-SLP
• Healing Arts Family Medicine LLC
• Health Stop LLC (SmartCare Family Medical Centers)
• Healthcare Partners LLC (Suite Health)
• Healthone Clinic Services - Bariatric Medicine LLC
• Healthone Clinic Services - Oncology Hematology LLC

• Clinical Social Worker in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.