Achieve Your Full Potential, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R079147 Issued in NY

Legal business name

ACHIEVE YOUR FULL POTENTIAL, LCSW, PLLC

Practice address

135 E 50TH St
Suite 108C
New York, NY 10022-7504

Phone

(646) 285-4343

NPI assigned

Dec 20, 2013

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Heeg, MSW, LCSW-RNPI 1497833776

Title

Owner

Phone

(646) 285-4343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Heeg, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1497833776
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1891116612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 50TH ST",
            "address_2": "SUITE 108C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227504",
            "telephone_number": "646-285-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 50TH ST",
            "address_2": "SUITE 108C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227504",
            "telephone_number": "646-285-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE YOUR FULL POTENTIAL, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "HEEG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-285-4343",
        "authorized_official_credential": "MSW, LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R079147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchitra S Acharya, MD
• Werner Sebastian Achatz, PH.D.
• Derrick Opoku Acheampong, MD
• Acheivement Medical Anesthesia PLLC
• Melissa Achenbaum, PA
• Achievement Medical Anesthesia PLLC
• Achilles Medical P.C.
• Lesley Achitoff, ATR-BC, LCAT
• Emil Achmad, M.D.
• Nonyerem Okwukwe Acholonu-Fomin, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.