| Ms Kelly Marie Heitkamp, LISW-S, TRCC | |
|
6645 Princeton Glendale Rd, Liberty Twp, OH 45011-7547 | |
| (859) 322-2499 | |
| Not Available |
| Full Name | Ms Kelly Marie Heitkamp |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 6645 Princeton Glendale Rd, Liberty Twp, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336611524 | NPI | - | NPPES |
| 0387182 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1801384 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Cincinnati Physicians Company Llc | 2264344480 | 1378 |
| Lindner Center Of Hope Professional Associates | 7012236409 | 67 |
| Entity Name | University Of Cincinnati Physicians Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Entity Name | The Craig And Frances Lindner Center Of Hope |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023207750 PECOS PAC ID: 9032284013 Enrollment ID: O20080903000160 |
| Entity Name | Mindfully Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253 |
| Entity Name | Lindner Center Of Hope Professional Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124425020 PECOS PAC ID: 7012236409 Enrollment ID: O20150506002380 |
| Entity Name | Neuropsych Center Of Greater Cincinnati Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801241237 PECOS PAC ID: 2567754815 Enrollment ID: O20160707001716 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Marie Heitkamp, LISW-S, TRCC 3200 Burnet Ave, Cincinnati, OH 45229-3019 Ph: () - | Ms Kelly Marie Heitkamp, LISW-S, TRCC 6645 Princeton Glendale Rd, Liberty Twp, OH 45011-7547 Ph: (859) 322-2499 |
Brandi Forbes, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6040 Princeton Rd, Liberty Twp, OH 45011 Phone: 513-777-6194 Fax: 513-759-2672 |