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MRS. CHINNA KRYSTAL IHEAKARAM LCSW
NPI 1306502950
Social Worker - Clinical in Sparta, NJ

Active since November 09, 2021PECOS Enrolled

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Nov 9, 2021 (2 updates tracked since 2021).

About Mrs. Chinna Krystal Iheakaram Lcsw NPPES

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

MRS. CHINNA KRYSTAL IHEAKARAM LCSW (NPI 1306502950) is an individual clinical provider in Sparta, New Jersey, licensed in New Jersey (44SC06421100) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306502950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CHINNA KRYSTAL IHEAKARAMCredential: LCSW
Location Address11 S KEY STSparta, NJ 07871-3507
Mailing Address11 S Key StSparta, NJ 07871-3507 · (973) 207-4698
Phone(973) 207-4698
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 9, 2021
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1306502950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06421100
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 44SL05812600 (NJ)
11 S KEY ST, Sparta, NJ 07871
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chinna Krystal Iheakaram Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335677533
PECOS Enrollment IDI20251022004471
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 Reassignments

2

Medicare enrollment records show Chinna Iheakaram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group Of New Jersey PC
38 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Grow Healthcare Group PA
1,101 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Chinna Iheakaram's NPI number?

The NPI number for Chinna Iheakaram is 1306502950. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Chinna Iheakaram located?

Chinna Iheakaram practices at 11 S Key St, Sparta, NJ 07871. The listed phone number is (973) 207-4698.

What is Chinna Iheakaram's specialty?

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

Is Chinna Iheakaram enrolled in Medicare?

Yes. Chinna Iheakaram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chinna Iheakaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chinna Iheakaram reassigns Medicare benefits to 2 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). Each 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 Chinna Iheakaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chinna Iheakaram was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.