Michael Heffernan, LICSW, LCDP is a
Social Worker - Clinical based in Providence, Rhode Island. Michael Heffernan is licensed to practice in Rhode Island (license number ISW 00358) and his current practice location is
345 Blackstone Blvd, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 421-7900.
NPI number for Michael Heffernan is 1588738603 and his current mailing address is 41 Norman Ave, Cranston, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588738603.
Healthcare Provider's Profile
| Full Name | Michael Heffernan |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 345 Blackstone Blvd, Providence, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588738603
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588738603 | NPI | - | NPPES |
| 205032 | Other | RI | RI BLUECROSS-BLUECHIP |
| 62-52319 | Other | RI | UNITEDBEHAVIORALHEALTH |
| 23588-4 | Other | RI | RI BLUECROSS-BLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDP 00193 (Rhode Island) | Primary |
| 1041C0700X | Social Worker - Clinical | ISW 00358 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Heffernan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Heffernan, LICSW, LCDP
41 Norman Ave,
Cranston, RI 02910-5812
Ph: (401) 941-0804 | Michael Heffernan, LICSW, LCDP
345 Blackstone Blvd,
Providence, RI 02906-4800
Ph: (401) 421-7900 |
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