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HEATHER SPROUSE LCSW
NPI 1851876056
Social Worker - Clinical in Hartford, CT

Active since October 03, 2018PECOS Enrolled
100 PEARL ST, HARTFORD, CT 06103(323) 205-7088 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2026, Sep 23, 2024, Aug 2, 2024 and 1 more (4 updates tracked since 2018).

About Heather Sprouse Lcsw NPPES

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

HEATHER SPROUSE LCSW (NPI 1851876056) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (13816) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hartford, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851876056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER SPROUSECredential: LCSW
Location Address100 PEARL STHartford, CT 06103-4506
Mailing Address383 Four Bridges RdSomers, CT 06071-1133 · (860) 810-4019
Phone(323) 205-7088
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 3, 2018
Last NPPES UpdateApril 1, 20264 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1851876056 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 CT · 13816✔ Licensed in MA · LICSW1130586
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.
100 PEARL ST, Hartford, CT 06103
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Secondary Practice Location 1

Location 117 S Highland StWest Hartford, CT 06119-1826 · Phone (860) 258-4171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6002347275
PECOS Enrollment IDI20251210002604
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 Sprouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holyoke Capital Jv, LLC
28 mi
Psychiatric Hospital
1233 MAIN ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group
NPI 1649856618 (413) 701-2600

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 06103 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 8

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

PERFECTLY IMPERFEKT
Non-emergency Medical Transport (VAN)
100 PEARL ST, 14TH FLOOR
HARTFORD, CT 06103
Capitol Planning Region (860) 869-0987
ASHLEY CHARLENE LEON ALONZO
Counselor (Professional)
100 PEARL ST
HARTFORD, CT 06103
Capitol Planning Region (323) 205-7088
DARNIEL J MOJICA LLC
Social Worker (Clinical)
100 PEARL ST
HARTFORD, CT 06103
Capitol Planning Region (860) 969-1463
JAMIE HOPE TOOLE
Student in an Organized Health Care Education/Training Program
100 PEARL ST
HARTFORD, CT 06103
Capitol Planning Region (855) 442-4373
DR. ALISTER BRUCE CAMPBELL M.D.
Internal Medicine
100 PEARL ST, C.M. SMITH 3RD FLOOR
HARTFORD, CT 06103
Capitol Planning Region (860) 990-6349
CT OPTIMAL WELLNESS, LLC
Clinic/Center (Primary Care)
100 PEARL ST, 12 FLOOR
HARTFORD, CT 06103
Capitol Planning Region (860) 725-0025
CAREPRO HOMECARE OF CT, INC.
Home Health
100 PEARL ST
HARTFORD, CT 06103
Capitol Planning Region (917) 544-6300
DR. NICOLE LESLIE CAMPBELL MSW, DSW, LCSW
Social Worker (Clinical)
100 PEARL ST
HARTFORD, CT 06103
Capitol Planning Region (323) 205-7088

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 Sprouse's NPI number?

The NPI number for Heather Sprouse is 1851876056. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Heather Sprouse located?

Heather Sprouse practices at 100 Pearl St, Hartford, CT 06103. The listed phone number is (323) 205-7088.

What is Heather Sprouse's specialty?

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

Is Heather Sprouse enrolled in Medicare?

Yes. Heather Sprouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Sprouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Sprouse reassigns Medicare benefits to Holyoke Capital Jv, LLC (Holyoke, MA). 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 Sprouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Sprouse accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Harvard Pilgrim Health Care and Regence BlueCross BlueShield of Oregon list Heather Sprouse 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 Sprouse was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.