HEATHER M PINEDA LMSW
NPI 1770232852
Social Worker - Clinical in Traverse City, MI

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
207 CIRCLE DR, TRAVERSE CITY, MI 49684(616) 682-7062 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Heather M Pineda Lmsw NPPES

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

HEATHER M PINEDA LMSW (NPI 1770232852) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801118039) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770232852
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER M PINEDACredential: LMSW
Location Address207 CIRCLE DRTraverse City, MI 49684-2347
Mailing Address207 Circle DrTraverse City, MI 49684-2347 · (616) 682-7062
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateMay 4, 2025
NPPES CertifiedMay 4, 2025
NPI 1770232852 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 MI · 6801118039 Licensed in MI · 6851114151
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.
207 CIRCLE DR, Traverse City, MI 49684

Accepted 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

Heather M Pineda Lmsw 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 ID3274975719
PECOS Enrollment IDI20240529002029
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 49684 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 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $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 3

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

Family Medicine
207 CIRCLE DR
TRAVERSE CITY, MI 49684
Family Medicine
207 CIRCLE DR
TRAVERSE CITY, MI 49684
Clinic/Center (Mental Health (Including Community Mental Health Center))
207 CIRCLE DR
TRAVERSE CITY, MI 49684

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 Pineda's NPI number?

The NPI number for Heather Pineda is 1770232852. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Heather Pineda located?

Heather Pineda practices at 207 Circle Dr, Traverse City, MI 49684. The listed phone number is (616) 682-7062.

What is Heather Pineda's specialty?

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

Is Heather Pineda enrolled in Medicare?

Yes. Heather Pineda 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 Heather Pineda accept?

Health plans from McLaren Health Plan Community, Oscar Insurance Company, Priority Health and UnitedHealthcare list Heather Pineda 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 Pineda was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.