Heather E. Petherbridge, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801105138 Issued in MI

Practice address

1128 Villa Linde CT Ste 10
Flint, MI 48532-3454

Phone

(810) 282-1674

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Heather E. Ketzler Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Peace of Mind Counseling LLC

  • Social Worker
  • Flint, MI
  • NPI 1770157216
  Medicare reassignment NPD
• Porters Headspace

  • Clinical Social Worker
  • Flint, MI
  • NPI 1790477180
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1902273956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13271 TORREY RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301037",
            "telephone_number": "810-282-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 VILLA LINDE CT STE 10",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323454",
            "telephone_number": "810-282-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETHERBRIDGE",
        "first_name": "HEATHER",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801105138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KETZLER",
            "middle_name": "E.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Jean Peters, RN
• Ashley Peterson, RDH
• Dezha Peterson, MSW, LLMSW
• Sue Ann Peterson, LLBSW
• William David Peterson, DDS
• Tari Pethick, P.T.
• Tyra M Petoskey, LMSW, CAADC
• Rachel Kristin Petrak, MPH
• Francesca M Petrilli, DNP, ARNP-BC
• Mary Patricia Petrillo, PHARM.D.

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.