Individual provider Active NPI

Heather Rebecca Pantalone, LICSW

  • Clinical Social Worker
  • Harker Heights, TX
National Provider Identifier
1891211066
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63951 Issued in TX
Practice address
3309 Vineyard TRL
Harker Heights, TX 76548-8847
Phone
(555) 555-5555
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW126773 MA
Clinical Psychologist 103TC0700X 40905 TX
Clinical Social Worker 1041C0700X 63951 TX Primary
Clinical Social Worker 1041C0700X LCSW-5305 HI

Addresses

Primary practice location

3309 Vineyard TRL
Harker Heights, TX 76548-8847

Mailing address

PO Box 507
Nolanville, TX 76559-0507
Phone (254) 415-8466

Other names 1

  • Dr. Heather Pantalone Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63951TXMDProfessional Counselor
LCSW-5305HIMDClinical Social Worker
LICSW126773MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Success Counseling and Coaching Clinical CurrentSince Sep 14, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heatherpantalone@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1891211066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765590507",
            "telephone_number": "254-415-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 VINEYARD TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488847",
            "telephone_number": "555-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALONE",
        "first_name": "HEATHER",
        "middle_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW126773",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40905",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63951",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PANTALONE",
            "prefix": "DR.",
            "credential": "PSY. D., PLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.