HEATHER CALDWELL LCSW
NPI 1184097065
Social Worker - Clinical in Bloomington, IL
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
Specialties & Licenses
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.
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.
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.
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.
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.
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.