Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER B MANDEVILLE LICSW
NPI 1487165072
Social Worker - Clinical in Worcester, MA

Q: What is Heather Mandeville's NPI number?

The NPI number for Heather Mandeville is 1487165072. It was assigned to this individual provider in the NPPES registry on October 23, 2017. The provider is also known as Heather B Flynn Lcsw.

Q: What is Heather Mandeville's specialty?

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

Active since October 23, 2017

135 GOLD STAR BLVD, WORCESTER, MA 01606(508) 459-6400(508) 849-5618 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Oct 7, 2021, Nov 4, 2020 and 1 more (4 updates tracked since 2017).

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About Heather B Mandeville Licsw NPPES

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

HEATHER B MANDEVILLE LICSW (NPI 1487165072) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (124058) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1487165072

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameHEATHER B MANDEVILLECredential: LICSW

Location Address135 GOLD STAR BLVDWorcester, MA 01606-2738

Mailing Address135 Gold Star BlvdWorcester, MA 01606-2738 · (508) 459-6400 · Fax (508) 849-5618

Phone(508) 459-6400

Fax(508) 849-5618

Sole ProprietorNo

Enumeration DateOctober 23, 2017

Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1487165072 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 MA · 124058

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCSW224417 (MA), LICSW124058 (MA)

135 GOLD STAR BLVD, Worcester, MA 01606

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Other Names 1

Former Name (1)Heather B Flynn Lcsw

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.

CHRISTINA BRETON LMHC

Counselor (Mental Health)