| Heather Heritage, LCSW | |
|
5168 Honpie Rd, Placerville, CA 95667-8682 | |
| (530) 387-4975 | |
| Not Available |
| Full Name | Heather Heritage |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5168 Honpie Rd, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770047839 | NPI | - | NPPES |
| 100085082 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9549-123 (Wisconsin) | Primary |
| 104100000X | Social Worker | 128160-121 (* (Not Available)) | Secondary |
| Entity Name | Abg Wellness Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340 |
| Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
| Entity Name | Gateways Counseling Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811489206 PECOS PAC ID: 9638407786 Enrollment ID: O20190827002930 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Heritage, LCSW 5168 Honpie Rd, Placerville, CA 95667-8682 Ph: (530) 387-4975 | Heather Heritage, LCSW 5168 Honpie Rd, Placerville, CA 95667-8682 Ph: (530) 387-4975 |
Shirley J. Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 670 Placerville Dr, Suite 1b, Placerville, CA 95667 Phone: 530-621-5290 | |
Kym M Andrews-cardoza, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3057 Briw Rd, Placerville, CA 95667 Phone: 530-748-5328 | |
Ms. Carla L Wills, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5036 Sunrey Rd, Placerville, CA 95667 Phone: 530-621-9800 Fax: 530-621-9804 | |
Ms. Terry Lee White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Ln., C, Placerville, CA 95667 Phone: 530-621-6547 Fax: 530-295-2521 | |
Alicia Nichole Saavedra, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-626-2793 | |
Madeline Francis Moule, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4212 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-621-7700 | |
Ms. Eileen P. Keaveny, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3094 Cedar Ravine Rd, Placerville, CA 95667 Phone: 530-621-4318 |