MRS. HEATHER ANN CONNOR (LISW) – Social Worker, NPI 1063742773

MRS. HEATHER ANN CONNOR (LISW) is a healthcare provider. based in Fairfield, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I 1200343 (OH). The NPI Number for MRS. HEATHER ANN CONNOR (LISW) is 1063742773

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEATHER ANN CONNOR (LISW)
NPI
1063742773
Phone
(513) 939-0300
Address
1251 Nilles Rd Ste 5
Enumeration Date
31 December 2009
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5135364673
Graduation Year
2009 (17 years ago)
PAC ID
4284995200
Group Practice PAC ID
7012236409
Professional Enrollment ID
I20180307001612
Address ID
OH450403104MA4075XRDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MRS. HEATHER ANN CONNOR (LISW)

  • 1251 Nilles Rd Ste 5

    Fairfield, OH 450147205

    Phone: (513) 939-0300

    Type: Location

  • Cincinnati Children’s Liberty Campus, 7777, Yankee Road, Bethany, Liberty Township, Butler County, Ohio, 45044, United States

    ML 16066

    LIBERTY TOWNSHIP, OH 450443500

    Phone: (513) 803-9600

    Fax: (513) 636-2300

    Type: Mailing

  • Cincinnati Children’s Liberty Campus, 7777, Yankee Road, Liberty Township, Butler County, Ohio, 45044, United States

    LIBERTY TOWNSHIP, OH 450443500

    Phone: (513) 803-9600

    Fax: (513) 636-2300

    Type: Location

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: 2018-03-07

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
I20180307001612IClinical 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 45014)

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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: 7012236409View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
-IL
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

How do I look up MRS. HEATHER ANN CONNOR (LISW) by NPI?
Use NPI 1063742773 when you need to reference MRS. HEATHER ANN CONNOR (LISW) in forms, claims, or directories.
Is MRS. HEATHER ANN CONNOR (LISW) active in the national directory?
MRS. HEATHER ANN CONNOR (LISW)'s public NPI profile is in an active state.
What field does MRS. HEATHER ANN CONNOR (LISW) work in?
You can think of MRS. HEATHER ANN CONNOR (LISW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. HEATHER ANN CONNOR (LISW)?
The page summarizes Fairfield, Ohio for MRS. HEATHER ANN CONNOR (LISW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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