Jodie Rebecca Heicklen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801093976 Issued in MI

Practice address

17344 W 12 Mile Rd Ste 207
Southfield, MI 48076-6321

Phone

(917) 536-2330

NPI assigned

May 17, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jodie Heicklen LMSW, PLLC

  • Clinical Social Worker
  • Berkley, MI
  • NPI 1144995986
  NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1982194668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 HEREFORD DR",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701639",
            "telephone_number": "917-536-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17344 W 12 MILE RD STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766321",
            "telephone_number": "917-536-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEICKLEN",
        "first_name": "JODIE",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Hands Community Help Group, LLC
• Terresa Jeanette Pauline Hecox
• Jeremy Reid Heffernan, M.D.
• Kelly Hefferon, D.O.
• Harpreet Hehar, OD
• David G Heidemann, MD
• Rachel Marie Height-Kaplan
• Morgan Heimbecker
• Larissa Heise, LMSW, LBA, BCBA
• Helixpoint Labs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.