Jessica Lynn Heidtman, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096854 Issued in MI

Practice address

201 Rublein St Ste D
Marquette, MI 49855-4060

Phone

(906) 250-7533

NPI assigned

Aug 14, 2014

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Zeug Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• U.P. Counseling LLC

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1790285195
  NPD Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1891194924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUBLEIN ST STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554060",
            "telephone_number": "906-233-1236",
            "fax_number": "906-233-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUBLEIN ST STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554060",
            "telephone_number": "906-250-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554661",
            "country_code": "US",
            "telephone_number": "906-233-1236",
            "fax_number": "906-233-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDTMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ZEUG",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connie L Hedmark, M.D.
• David Joseph Heichel, M.D.
• Philip David Heichel, M.D.
• Karin Heidelberger, P.T.
• Heidi Schneiderhan, LLC
• Ryan E Heidtman
• Lindsay Ann Heino
• Madelyn Jane Helgestad
• Sabrina Helmer, RD
• Jane Hendrick, LMT

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.