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HEATHER STONE LSW, CDCA
NPI 1679004709
Social Worker - Clinical in Mount Gilead, OH

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
245 NEAL AVE, MOUNT GILEAD, OH 43338(419) 946-6734(419) 946-6952 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 14, 2017 and 1 more (4 updates tracked since 2017).

About Heather Stone Lsw, Cdca NPPES

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

HEATHER STONE LSW, CDCA (NPI 1679004709) is an individual clinical provider in Mount Gilead, Ohio, licensed in Ohio (S.1700450) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679004709
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER STONECredential: LSW, CDCA
Location Address245 NEAL AVEMount Gilead, OH 43338-9372
Mailing Address245 Neal AveMount Gilead, OH 43338-9372 · (419) 946-6734 · Fax (419) 946-6952
Phone(419) 946-6734
Fax(419) 946-6952
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1679004709 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 OH · S.1700450
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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 130769 (OH)
245 NEAL AVE, Mount Gilead, OH 43338
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Secondary Practice Location 1

Location 1680 Park Ave WMansfield, OH 44906-3706 · Phone (419) 528-5993 ext. 108 · Fax (567) 560-5486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio.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 Stone Lsw, Cdca 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 ID3577098557
PECOS Enrollment IDI20241127002734
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 Reassignment

Medicare enrollment records show Heather Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast, Inc
41 mi
Mental Health (Including Community Mental Health Center)
16 W LONG ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 81 clinicians in this Medicare group
NPI 1932169497 (614) 225-0980

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 43338 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 10

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

OHIO FOOT CARE INC.
Podiatrist
245 NEAL AVE, SUITE C
MOUNT GILEAD, OH 43338
Morrow County (419) 946-6000
AMANDA S ANDERSON LPC
Counselor (Professional)
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (614) 445-8131
MORROW COUNTY HOSPITAL
Clinic/Center (Primary Care)
245 NEAL AVE, SUITE A
MOUNT GILEAD, OH 43338
Morrow County (419) 947-3015
BOBBIE JO MCELDOWNEY CDCA, QMHS
Counselor (Addiction (Substance Use Disorder))
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (419) 946-6734
MRS. BAMBI ANNE WHIPPLE LPN
Licensed Practical Nurse
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (419) 946-6734
KEVIN NEIL KIBLER LSW
Social Worker
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (614) 445-8131
CARMAN RUTH SLONE LSW
Social Worker
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (614) 445-8131
SAMANTHA JEAN DAVIDSON LSW
Social Worker
245 NEAL AVE
MOUNT GILEAD, OH 43338
Morrow County (419) 949-4300

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 Stone's NPI number?

The NPI number for Heather Stone is 1679004709. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Heather Stone located?

Heather Stone practices at 245 Neal Ave, Mount Gilead, OH 43338. The listed phone number is (419) 946-6734.

What is Heather Stone's specialty?

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

Is Heather Stone enrolled in Medicare?

Yes. Heather Stone 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 Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Stone reassigns Medicare benefits to Southeast, Inc (Columbus, OH). 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 Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Stone accept?

Health plans from Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Heather Stone 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 Stone was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.