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HEATHER GROOM LLC
NPI 1790677706
Social Worker - Clinical in Saint Marys, GA

Active since July 16, 2025
4499 GA HIGHWAY 40 E STE A, SAINT MARYS, GA 31558(843) 513-4935(912) 729-4626 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2025, Dec 1, 2025 (2 updates tracked since 2025).

About Heather Groom Llc NPPES

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

HEATHER GROOM LLC (NPI 1790677706), doing business as Heather Groom Lcsw Counseling Services, is a healthcare organization registered as a clinical in Saint Marys, Georgia and active in the NPI registry since July 2025. The organization lists Heather Marie Groom, Owner, as its authorized official.

NPPES Registry Identity

NPI1790677706
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEATHER GROOM LLC
Location Address4499 GA HIGHWAY 40 E STE ASaint Marys, GA 31558-9402
Mailing Address4499 Ga Highway 40 E Ste ASaint Marys, GA 31558-9402 · (843) 513-4935 · Fax (912) 729-4626
Phone(843) 513-4935
Fax(912) 729-4626
Organization SubpartNo
Authorized OfficialHeather Marie GroomOwner · (843) 513-4935
Enumeration DateJuly 16, 2025
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1790677706 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.
4499 GA HIGHWAY 40 E STE A, Saint Marys, GA 31558
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Other Names 1

Doing Business AsHeather Groom Lcsw Counseling Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Groom Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heather Groom LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Groom, LCSW
Clinical Social Worker
NPI 1861188096
4499 GA HIGHWAY 40 E STE A
Saint Marys, GA 31558
(912) 464-4265
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Groom LLC's NPI number?

The NPI number for Heather Groom LLC is 1790677706. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is doing business as Heather Groom LCSW Counseling Services.

Where is Heather Groom LLC located?

Heather Groom LLC is located at 4499 Ga Highway 40 E Ste A, Saint Marys, GA 31558. The listed phone number is (843) 513-4935.

What is Heather Groom LLC's specialty?

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

Is Heather Groom LLC enrolled in Medicare?

Yes. Heather Groom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heather Groom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Heather Groom LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heather Groom LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.