Individual provider Active NPI

Carol Heckaman, LMSW

  • Clinical Social Worker
  • Mason, MI
National Provider Identifier
1891160511
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086125 Issued in MI
Practice address
818 Charrington CT.
Mason, MI 48854
Phone
(517) 749-6161
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 6801086125 MI Primary

Addresses

Primary practice location

818 Charrington CT.
Mason, MI 48854

Mailing address

818 Charrington CT.
Mason, MI 48854
Phone (517) 749-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160218001024 MI Practitioner - Clinical Social Worker 8729383484 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Feb 1, 2023 Accepting new patients
John S Hand PHD PC & Associates CurrentSince Jan 1, 2019 Accepting new patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Feb 1, 2023 Accepting new patients
Mareck Family and Geriatric Services, P.C. Clinical PastSince Jan 13, 2016 Accepting new patients
Behavioral Wellness Center LLC PastSince Jan 1, 2022 Accepting new patients

Locations

263 Industrial Dr
Hillsdale, MI 49242
Phone (517) 783-4418

1200 N West Ave
Ste 812
Jackson, MI 49202
Phone (517) 783-4418

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1891160511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CHARRINGTON CT.",
            "city": "MASON",
            "state": "MI",
            "postal_code": "48854",
            "telephone_number": "517-749-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CHARRINGTON CT.",
            "city": "MASON",
            "state": "MI",
            "postal_code": "48854",
            "telephone_number": "517-749-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKAMAN",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.