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

Organization subpart

No

Name

Katherine Heeg, MSW, LCSW-RNPI 1497833776

Title

Owner

Phone

(646) 285-4343

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Heeg, LCSW

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

Medicare fee-for-service enrollment

Enrolled in NY

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2013.

{
    "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
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• Melissa Achenbaum, PA
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• Lesley Achitoff, ATR-BC, LCAT
• Emil Achmad, M.D.
• Nonyerem Okwukwe Acholonu-Fomin, MD

• All providers in New York, NY
• 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.