HEATHER CALDWELL LCSW
NPI 1184097065
Social Worker - Clinical in Bloomington, IL

Active since November 02, 2015PECOS EnrolledAccepts Medicare Assignment
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704(309) 664-3000 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Caldwell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER CALDWELL LCSW (NPI 1184097065) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149025329) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184097065
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER CALDWELLCredential: LCSW
Location Address1701 E COLLEGE AVEBloomington, IL 61704-2101
Mailing Address1720 Rt Dunn Dr Apt 12Bloomington, IL 61701-8744 · (309) 824-9594
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 2, 2015
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1184097065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149025329
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1701 E COLLEGE AVE, Bloomington, IL 61704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Caldwell Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739544016
PECOS Enrollment IDI20230421000541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Heather Caldwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
80 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Hospice Care, Community Based
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Internal Medicine
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Medicine & Rehabilitation (Pain Medicine)
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Caldwell's NPI number?

The NPI number for Heather Caldwell is 1184097065. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Heather Caldwell located?

Heather Caldwell practices at 1701 E College Ave, Bloomington, IL 61704. The listed phone number is (309) 664-3000.

What is Heather Caldwell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Caldwell enrolled in Medicare?

Yes. Heather Caldwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Heather Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Caldwell reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Caldwell accept?

Health plans from Oscar Health list Heather Caldwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Caldwell was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.