LAURA M HEIDEMAN (LICSW) – Mental Health Counselor, NPI 1366507964

LAURA M HEIDEMAN (LICSW) is a healthcare provider. based in Cambridge, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1024807 (MA). The NPI Number for LAURA M HEIDEMAN (LICSW) is 1366507964

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
LAURA M HEIDEMAN (LICSW)
NPI
1366507964
Phone
(617) 354-8655
Address
2464 MASSACHUSETTS AVE
Enumeration Date
26 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089324580
Graduation Year
1992 (34 years ago)
PAC ID
9133149875
Professional Enrollment ID
I20051128000183
Address ID
MA017542514MA95XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for LAURA M HEIDEMAN (LICSW)

  • 2464, Massachusetts Avenue, North Cambridge, Cambridge, Middlesex County, Massachusetts, 02140, United States

    312

    CAMBRIDGE, MA 021401646

    Phone: (617) 354-8655

    Type: Location

  • 31, Amory Avenue, Maynard, Middlesex County, Massachusetts, 01754, United States

    MAYNARD, MA 017541157

    Phone: (617) 354-8655

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000183IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02140)

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Reviews

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Frequently asked questions

What is the registry number for LAURA M HEIDEMAN (LICSW)?
The registry entry for LAURA M HEIDEMAN (LICSW) shows NPI 1366507964.
Should I treat LAURA M HEIDEMAN (LICSW) as an active provider?
Patients and plans typically see LAURA M HEIDEMAN (LICSW) as active in the national extract.
What services align with LAURA M HEIDEMAN (LICSW)'s listing?
LAURA M HEIDEMAN (LICSW)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to LAURA M HEIDEMAN (LICSW)?
LAURA M HEIDEMAN (LICSW) shows a connection to Cambridge, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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