Heidi Ann Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9293 Issued in FL

Practice address

5051 Castello Dr Ste 204
Naples, FL 34103-8985

Phone

(239) 260-4387

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• A Change of Mind, LLC

  • Clinical Social Worker
  • Naples, FL
  • NPI 1720526387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1992020572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 CASTELLO DR STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038985",
            "telephone_number": "239-260-4387",
            "fax_number": "844-715-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CASTELLO DR STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038985",
            "telephone_number": "239-260-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Whippoorwill Ln",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341053847",
            "country_code": "US",
            "telephone_number": "239-280-2283",
            "fax_number": "239-261-9804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Tamiami Trl N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341032838",
            "country_code": "US",
            "telephone_number": "239-260-4387",
            "fax_number": "844-715-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1720526387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wills Chiropractic PA
• Chad Christopher Wills, D.C.
• Debra Wilson-Gallares, L.P.N.
• Bobette Wilson, RN, CARN
• Elena S Wilson, RNFA
• John Bernard Wilson, M.D.
• Kelly Edward Wilson, MD
• Kelsey Wilson
• Maria Francesca Zampogna Wilson
• Michael Wilson, M.D

• Clinical Social Worker in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.