Liisa Polly Heard, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6702 Issued in OR

Practice address

3591 Bankhead Ave
Montgomery, AL 36111-2017

Phone

(503) 522-5750

Fax

(334) 649-2711

NPI assigned

Jan 24, 2015

Last updated

Dec 11, 2023By the provider in NPPES

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 OR

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

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1871983296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 BANKHEAD AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112017",
            "telephone_number": "503-522-5750",
            "fax_number": "334-649-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 BANKHEAD AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112017",
            "telephone_number": "503-522-5750",
            "fax_number": "334-649-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2143 NE Broadway St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321512",
            "country_code": "US",
            "telephone_number": "503-522-5750",
            "fax_number": "503-240-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 NE 13TH AVE",
            "address_2": "STE 4",
            "address_purpose": "LOCATION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124378",
            "country_code": "US",
            "telephone_number": "503-522-5750",
            "fax_number": "503-240-5416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARD",
        "first_name": "LIISA",
        "middle_name": "POLLY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health SVC Inc (Montgomery Primery Care)
• Healthcare on Demand, PC
• Healthscan Imaging, LLC (Healthscan Research)
• Healthy Smiles Dental Center
• Healthyconnect of Montgomery PLLC
• Hearing Solutions of Alabama LLC
• Abby Hearst, LMSW
• Heart2Heart Transportation,LLC
• Hearts4Healing Home Healthcare Services
• Eric Hedberg, MD

• Clinical Social Worker in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.