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BRIAN HEENAN
NPI 1669062576
Social Worker - Clinical in Appleton, WI

Active since January 25, 2021PECOS EnrolledAccepts Medicare Assignment
3825 E CALUMET ST STE 400-255, APPLETON, WI 54915(202) 810-9212 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, May 1, 2023, May 22, 2022 and 2 more (5 updates tracked since 2021).

About Brian Heenan NPPES

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

BRIAN HEENAN (NPI 1669062576) is an individual clinical provider in Appleton, Wisconsin, licensed in District Of Columbia (LC200003344) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669062576
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN HEENAN
Location Address3825 E CALUMET ST STE 400-255Appleton, WI 54915-4159
Mailing Address1835 E Edgewood Dr Ste 105107Appleton, WI 54913-9407 · (920) 234-6842
Phone(202) 810-9212
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2021
Last NPPES UpdateOctober 16, 20255 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1669062576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in DC · LC200003344✔ Licensed in WI · 12093-123
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.
3825 E CALUMET ST STE 400-255, Appleton, WI 54915
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Secondary Practice Location 1

Location 11835 E Edgewood Dr Ste 105107Appleton, WI 54913-9407 · Phone (920) 234-6842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.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

Brian Heenan 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 ID8628576865
PECOS Enrollment IDI20250807003341
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

BE CURIOUS LLC
Social Worker (Clinical)
3825 E CALUMET ST STE 400-255
APPLETON, WI 54915
Calumet County (202) 810-9212

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 Brian Heenan's NPI number?

The NPI number for Brian Heenan is 1669062576. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Brian Heenan located?

Brian Heenan practices at 3825 E Calumet St Ste 400-255, Appleton, WI 54915. The listed phone number is (202) 810-9212.

What is Brian Heenan's specialty?

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

Is Brian Heenan enrolled in Medicare?

Yes. Brian Heenan 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 Brian Heenan accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Quartz and UnitedHealthcare list Brian Heenan 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 Brian Heenan was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.