MRS. MICHELLE GRAY HEINHOLD (LCSW) – Clinical Social Worker, NPI 1912977703

MRS. MICHELLE GRAY HEINHOLD (LCSW) is a healthcare provider. based in Las vegas, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2822-C (NV). The NPI Number for MRS. MICHELLE GRAY HEINHOLD (LCSW) is 1912977703

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE GRAY HEINHOLD (LCSW)
NPI
1912977703
Phone
(702) 496-1135
Address
9159 W FLAMINGO RD #106
Enumeration Date
24 January 2006
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024961135
Graduation Year
1996 (30 years ago)
PAC ID
8820423395
Professional Enrollment ID
I20200903003395
Address ID
NV891183241LA6268XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

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Provider Addresses for MRS. MICHELLE GRAY HEINHOLD (LCSW)

  • West Flamingo Road, Clark County, Nevada, 89158, United States

    LAS VEGAS, NV 89147

    Phone: (702) 496-1135

    Fax: (888) 780-3217

    Mailing address matches the actual address.

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: 2020-09-03

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
I20200903003395IClinical Social WorkerNVTBD

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 89147)

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Reviews

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Frequently asked questions

What is the standard ID for MRS. MICHELLE GRAY HEINHOLD (LCSW) in the U.S.?
In the U.S., MRS. MICHELLE GRAY HEINHOLD (LCSW) is identified by NPI 1912977703.
Is MRS. MICHELLE GRAY HEINHOLD (LCSW)'s NPI status active today?
Active status means MRS. MICHELLE GRAY HEINHOLD (LCSW)'s NPI record is not deactivated in the public file.
What services align with MRS. MICHELLE GRAY HEINHOLD (LCSW)'s listing?
MRS. MICHELLE GRAY HEINHOLD (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. MICHELLE GRAY HEINHOLD (LCSW)?
MRS. MICHELLE GRAY HEINHOLD (LCSW) shows a connection to Las Vegas, Nevada in registry-derived data.
Why is information missing for MRS. MICHELLE GRAY HEINHOLD (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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