HEATHER MADRID (LCSW) – Clinical Social Worker, NPI 1912354101

HEATHER MADRID (LCSW) is a healthcare provider. based in Cheyenne, Wyoming. specializing in Clinical Social Worker. They hold the professional credentials LCSW. The NPI Number for HEATHER MADRID (LCSW) is 1912354101

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MADRID (LCSW)
NPI
1912354101
Phone
(307) 632-6433
Address
2310 E 8TH ST
Enumeration Date
18 May 2016
Last Update Date
26 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076349653
Graduation Year
2016 (10 years ago)
PAC ID
2062761133
Group Practice PAC ID
7911993662
Professional Enrollment ID
I20180822002852
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for HEATHER MADRID (LCSW)

  • 2310, East 8th Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 82001

    Phone: (307) 632-6433

    Type: Location

  • Peak Wellness Center for Youth & Family, 510, West 29th Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820012760

    Phone: (307) 426-4728

    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: 2018-08-22

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
I20180822002852IClinical Social WorkerWYTBD

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 82001)

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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: 7911993662View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for HEATHER MADRID (LCSW)?
HEATHER MADRID (LCSW) — NPI 1912354101 — is the standard way to identify this listing.
Does CMS list HEATHER MADRID (LCSW) as active?
Yes — HEATHER MADRID (LCSW) is active in the NPI listing used on this page.
What is HEATHER MADRID (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for HEATHER MADRID (LCSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect HEATHER MADRID (LCSW) on a map?
Expect Cheyenne, Wyoming as a primary anchor for HEATHER MADRID (LCSW) unless the record lists multiple sites.
Why does HEATHER MADRID (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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