Individual provider Active NPI

Heather Anne Burroughs, MSW, LCSW

  • Clinical Social Worker
  • Oviedo, FL
National Provider Identifier
1891001004
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9936 Issued in FL
Practice address
2040 Winter Springs Blvd
Oviedo, FL 32765-9347
Phone
(407) 920-4759
NPI assigned
Aug 25, 2010
Reactivated
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 9936 FL Primary

Addresses

Primary practice location

2040 Winter Springs Blvd
Oviedo, FL 32765-9347

Mailing address

2040 Winter Springs Blvd
Oviedo, FL 32765-9347
Phone (407) 920-4759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, IL, KS, AZ, MO, TN, IA, MS9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20110322000974 FL Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 2 organizations
I20230710002273 CA Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20230914001671 IL Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20231212003058 KS Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20231221002764 AZ Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20231222001961 MO Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20240214000519 TN Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20250203002153 IA Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization
I20260407003998 MS Practitioner - Clinical Social Worker 0244413631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

40 Burton Hills Blvd
Suite 200
Nashville, TN 37215-5902
Phone (615) 257-8410

4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (602) 638-1872

4625 Lindell Blvd
Suite 200
Saint Louis, MO 63108-3725
Phone (314) 833-8765

605 N Michigan Ave
FL 4
Chicago, IL 60611-3141
Phone (773) 232-5338

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 9936FLMDClinical Social Worker
8262TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Jun 8, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 1, 2022 Accepting new patients
Deeper Insights Therapy, LLC CurrentSince Nov 10, 2024 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Nov 9, 2023 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Dec 28, 2021 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1806 Town Plaza Ct
Winter Springs, FL 32708
Phone (407) 542-4946

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1891001004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659347",
            "telephone_number": "407-920-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659347",
            "telephone_number": "407-920-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "deactivation_date": "2013-10-08",
        "reactivation_date": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.