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CARLY HEIDENREICH
NPI 1700267143
Social Worker - Clinical in Cordova, AK

Active since June 11, 2015PECOS Enrolled
602 CHASE AVE, CORDOVA, AK 99574(907) 424-8000(907) 424-8116 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Heidenreich NPPES

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

CARLY HEIDENREICH (NPI 1700267143) is an individual clinical provider in Cordova, Alaska and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700267143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY HEIDENREICH
Location Address602 CHASE AVECordova, AK 99574-0559
Mailing Address54581 California RdDowagiac, MI 49047-9237
Phone(907) 424-8000
Fax(907) 424-8116
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1700267143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
602 CHASE AVE, Cordova, AK 99574
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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)

Carly Heidenreich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951634492
PECOS Enrollment IDI20250930001054
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 Carly Heidenreich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cordova Community Medical Center
Same address
Critical Access
602 CHASE AVE
Cordova, AK 99574
  • Reassigned Medicare billing, Alaska enrollment
  • 40 clinicians in this Medicare group
NPI 1215035787 (907) 424-8000

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 99574 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 $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 12

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

CORDOVA COMMUNITY HOSPITAL
Pharmacy (Long Term Care Pharmacy)
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
MADELINE KARRIE LADD
Case Manager/Care Coordinator
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
General Acute Care Hospital (Critical Access)
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
DR. ALYCE L GARRITY MD
Emergency Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
Family Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
OLIVIA MORENO
Family Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8017
DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
Counselor
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8300

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 Carly Heidenreich's NPI number?

The NPI number for Carly Heidenreich is 1700267143. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Carly Heidenreich located?

Carly Heidenreich practices at 602 Chase Ave, Cordova, AK 99574. The listed phone number is (907) 424-8000.

What is Carly Heidenreich's specialty?

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

Is Carly Heidenreich enrolled in Medicare?

Yes. Carly Heidenreich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Heidenreich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Heidenreich reassigns Medicare benefits to Cordova Community Medical Center (Cordova, AK). 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 Carly Heidenreich'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 Carly Heidenreich was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.