REBEKAH HEATON (LCSW) – Social Worker, NPI 1164065017

REBEKAH HEATON (LCSW) is a healthcare provider. based in Poplar bluff, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2022030029 (MO). The NPI Number for REBEKAH HEATON (LCSW) is 1164065017

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
REBEKAH HEATON (LCSW)
NPI
1164065017
Phone
(573) 686-1200
Address
3001 WARRIOR LN
Enumeration Date
23 October 2019
Last Update Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736861200
Graduation Year
2019 (7 years ago)
PAC ID
2466835863
Group Practice PAC ID
2163410481
Professional Enrollment ID
I20220817003833
Address ID
MO639018685PO3001XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Loading map...

Provider Addresses for REBEKAH HEATON (LCSW)

  • 3001, Warrior Lane, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639018685

    Phone: (573) 686-1200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-08-17

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
I20220817003833IClinical Social WorkerMOTBD

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 63901)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163410481View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerAR
Mental Health CounselorMO
Clinical Social WorkerMO
Nurse PractitionerMO
Clinical Social WorkerOK
Nurse PractitionerKY
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is REBEKAH HEATON (LCSW)'s NPI number?
REBEKAH HEATON (LCSW)'s NPI is 1164065017 — the number used across U.S. healthcare to identify this provider.
Would REBEKAH HEATON (LCSW) appear as active to a payer?
You can treat REBEKAH HEATON (LCSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe REBEKAH HEATON (LCSW)'s focus?
For REBEKAH HEATON (LCSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Missouri is REBEKAH HEATON (LCSW) registered?
Use Poplar Bluff, Missouri as the headline location for REBEKAH HEATON (LCSW) here.
Can I trust this NPI listing for REBEKAH HEATON (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

Poplar, Pine Bluff, Jefferson County, Arkansas, 71601, United States
NPI: 1598743122

ROBERT A MCDONALD (LCSW)

Clinical Social Worker
John J. Pershing VA Medical Center, 1500, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1396723912

PAULA R GATES (LCSW)

Clinical Social Worker
Lester Street, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1881672400
John J. Pershing VA Medical Center, 1500, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1477506020

MS. LISA ANN COLEMAN (MSW,PLCSW)

Clinical Social Worker
PO BOX 157
NPI: 1467582312
8000 WOODLAND MEADOW DR
NPI: 1730396581
3001, Warrior Lane, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1376795948

PAMELA G HARNESS (LCSW)

Clinical Social Worker
1500 N WESTWOOD BLVD
NPI: 1053547513
3001 WARRIOR LN
NPI: 1972821098