LAURA N HEESACKER (LCSW) – Clinical Social Worker, NPI 1205818580
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LAURA N HEESACKER (LCSW)
PO BOX 503010
WHITE CITY, OR 975030813
Phone: (541) 941-7792
Fax: (503) 419-4662
Type: Mailing
385, East Main Street, Ashland, Jackson County, Oregon, 97520, United States
SUITE 1
ASHLAND, OR 975201834
Phone: (541) 488-0830
Fax: (503) 419-4662
Type: Location
1656 Ross Ln
Ashland, OR 975203429
Phone: (541) 631-1128
Type: Location
931 Chevy Way
Medford, OR 975044127
Phone: (541) 535-6239
Type: Location
1656 ROSS LN
ASHLAND, OR 975203429
Phone: (541) 631-1128
Type: Mailing
3617 S PACIFIC HWY
MEDFORD, OR 975018957
Phone: (541) 535-6239
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: 2010-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101207000562 | I | Clinical Social Worker | OR | TBD |
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.
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 97503)
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