MELISSA MARIE HEIDEMANN (LISW-S) – Social Worker, NPI 1003194903

MELISSA MARIE HEIDEMANN (LISW-S) is a healthcare provider. based in Dublin, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. L.1100197-SUPV (OH). The NPI Number for MELISSA MARIE HEIDEMANN (LISW-S) is 1003194903

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MARIE HEIDEMANN (LISW-S)
NPI
1003194903
Phone
(855) 289-1722
Address
525 Metro Pl N Ste 300
Enumeration Date
26 July 2011
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552891722
Graduation Year
2009 (17 years ago)
PAC ID
3476064742
Group Practice PAC ID
1153358486
Professional Enrollment ID
I20250613002126
Address ID
OH430175320DU525XXNXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MELISSA MARIE HEIDEMANN (LISW-S)

  • 525 Metro Pl N Ste 300

    Dublin, OH 430175320

    Phone: (855) 289-1722

    Type: Location

  • 8445 MUNSON RD

    MENTOR, OH 440602410

    Phone: (440) 255-1700

    Fax: (440) 205-2417

    Type: Mailing

  • 1848 THORNWOOD LN

    PAINESVILLE, OH 440776151

    Phone: (440) 423-5933

    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: 2025-06-13

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
I20250613002126IClinical Social WorkerOHTBD

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 43017)

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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: 1153358486View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check MELISSA MARIE HEIDEMANN (LISW-S) using NPI 1003194903?
NPI 1003194903 belongs to MELISSA MARIE HEIDEMANN (LISW-S); compare other details if you need extra assurance.
Would MELISSA MARIE HEIDEMANN (LISW-S) appear as active to a payer?
You can treat MELISSA MARIE HEIDEMANN (LISW-S) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MELISSA MARIE HEIDEMANN (LISW-S)?
MELISSA MARIE HEIDEMANN (LISW-S)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Is MELISSA MARIE HEIDEMANN (LISW-S) associated with Dublin?
Public fields place MELISSA MARIE HEIDEMANN (LISW-S) around Dublin, Ohio. Always confirm the exact site before visiting.
Does MELISSA MARIE HEIDEMANN (LISW-S) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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