Individual provider Active NPI

Lisa Whitney Heuschkel

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1982831335
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005910 Issued in CT
Practice address
1061 E Main St
Torrington, CT 06790-3968
Phone
(860) 489-3391
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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 005910 CT Primary

Addresses

Primary practice location

1061 E Main St
Torrington, CT 06790-3968

Mailing address

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241014004529 CT Practitioner - Clinical Social Worker 0648702746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Body RiseGroup PAC ID 6800292343, 6 clinicians

Practice addresses (Care Compare)

808 Stonington Rd
Stonington, CT 06378-2530
Phone (860) 204-6589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005910CTMDSpeech-Language Pathologist
5910CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Bridge to Wellness, LLC CurrentSince Sep 15, 2024 Accepting new patients
Mind Body Rise Clinical CurrentSince Nov 1, 2025 Accepting new patients
The Charlotte Hungerford Hospital Past Accepting new patients

Locations

47 Water St
Ste 101
Mystic, CT 06355
Phone (617) 416-0597

47 Water St
Ste 202
Mystic, CT 06355
Phone (617) 416-0597

80 Stonington Rd
Ste A3
Mystic, CT 06355
Phone (860) 536-1699

Organizations & group practices 3

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1982831335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903968",
            "telephone_number": "860-489-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSCHKEL",
        "first_name": "LISA",
        "middle_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.