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MR. CARL PAUL HEINEMEYER LCSW
NPI 1245442649
Social Worker - Clinical in Hawleyville, CT

Active since May 06, 2007PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
23 BARNABAS RD STE 11, HAWLEYVILLE, CT 06440(203) 240-6303 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Carl Paul Heinemeyer Lcsw NPPES

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

MR. CARL PAUL HEINEMEYER LCSW (NPI 1245442649) is an individual clinical provider in Hawleyville, Connecticut, licensed in Connecticut (003064) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1245442649
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CARL PAUL HEINEMEYERCredential: LCSW
Location Address23 BARNABAS RD STE 11Hawleyville, CT 06440-1201
Mailing Address23 Barnabas Rd Ste 11Hawleyville, CT 06440-1201 · (203) 240-6303
Phone(203) 240-6303
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 6, 2007
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1245442649 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 CT · 003064
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.
23 BARNABAS RD STE 11, Hawleyville, CT 06440
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Other Identifiers 1

Other202761811Federal Tax Id #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Carl Paul Heinemeyer 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 ID5799057493
PECOS Enrollment IDI20170815003468
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.

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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
265 services28 patients
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.
46 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06440 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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 Carl Heinemeyer's NPI number?

The NPI number for Carl Heinemeyer is 1245442649. It was assigned to this individual provider in the NPPES registry on May 6, 2007.

Where is Carl Heinemeyer located?

Carl Heinemeyer practices at 23 Barnabas Rd Ste 11, Hawleyville, CT 06440. The listed phone number is (203) 240-6303.

What is Carl Heinemeyer's specialty?

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

Is Carl Heinemeyer enrolled in Medicare?

Yes. Carl Heinemeyer 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.

What insurance does Carl Heinemeyer accept?

Health plans from Providence Health Plan list Carl Heinemeyer 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 Carl Heinemeyer was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.