Individual provider Active NPI

Heather Yvonne Salis, LCSW

  • Clinical Social Worker
  • Yankton, SD
National Provider Identifier
1942853429
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6271 Issued in SD
Practice address
614 Broadway Ave
Yankton, SD 57078-3516
Phone
(605) 665-0841
Fax
(605) 665-0096
NPI assigned
Jul 23, 2019
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 6271 SD Primary

Addresses

Primary practice location

614 Broadway Ave
Yankton, SD 57078-3516

Mailing address

614 Broadway Ave
Yankton, SD 57078-3516
Phone (605) 665-0841

Other names 1

  • Heather Yvonne Goens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20191104001605 SD Practitioner - Clinical Social Worker 4183956501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Psychological ServicesGroup PAC ID 3476535725, 6 clinicians

Practice addresses (Care Compare)

116 Market St
Vermillion, SD 57069-3040
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078-3516
Phone (605) 665-0841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services CurrentSince Aug 28, 2019 Accepting new patients
Heartland Psychological Services PastSince Jul 28, 2019 Accepting new patients

Locations

116 Market St
Vermillion, SD 57069
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078
Phone (605) 661-0841

904 W 23rd St
Ste 101
Yankton, SD 57078
Phone (605) 665-0841

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, 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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1942853429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783516",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783516",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIS",
        "first_name": "HEATHER",
        "middle_name": "YVONNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GOENS",
            "middle_name": "YVONNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.