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GENEVIEVE HEIDRICH LCSW
NPI 1790839272
Social Worker - Clinical in Port Jefferson, NY

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
646 MAIN STREET, PORT JEFFERSON, NY 11777(631) 928-4148(631) 331-8044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genevieve Heidrich Lcsw NPPES

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

GENEVIEVE HEIDRICH LCSW (NPI 1790839272) is an individual clinical provider in Port Jefferson, New York, licensed in New York (R0402081) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1790839272
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGENEVIEVE HEIDRICHCredential: LCSW
Location Address646 MAIN STREETPort Jefferson, NY 11777
Mailing Address646 Main StreetPort Jefferson, NY 11777 · (631) 928-4148 · Fax (631) 331-8044
Phone(631) 928-4148
Fax(631) 331-8044
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790839272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R0402081
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.
646 MAIN STREET, Port Jefferson, NY 11777
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Other Identifiers 1

Medicare ID-Type UnspecifiedN99031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Genevieve Heidrich Lcsw 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 ID1850427600
PECOS Enrollment IDI20100331000313
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 11777 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 4

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

MR. DOMINICK LOCIERO LMHC (LICENSE MENTAL
Counselor (Mental Health)
646 MAIN STREET
PORT JEFFERSON, NY 11777
Suffolk County (631) 880-1370
DR. PETER G DEPASQUALE PHD MSW
Social Worker
646 MAIN STREET
PORT JEFFERSON, NY 11777
Suffolk County (631) 689-8180
MRS. AMY LYNNE BUCKLEY LCSW
Social Worker (Clinical)
646 MAIN STREET
PORT JEFFERSON, NY 11777
Suffolk County (631) 942-5733
DR. BARRY S GREENBERG PH.D.
Psychologist (Clinical)
646 MAIN STREET
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-5341

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 Genevieve Heidrich's NPI number?

The NPI number for Genevieve Heidrich is 1790839272. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Genevieve Heidrich located?

Genevieve Heidrich practices at 646 Main Street, Port Jefferson, NY 11777. The listed phone number is (631) 928-4148.

What is Genevieve Heidrich's specialty?

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

Is Genevieve Heidrich enrolled in Medicare?

Yes. Genevieve Heidrich 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 Genevieve Heidrich accept?

Health plans from Providence Health Plan list Genevieve Heidrich 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 Genevieve Heidrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.