Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Heidenreich

Individual provider Clinical Social Worker · NPI 1700267143

Carly Heidenreich is a Clinical Social Worker in Cordova, Alaska. Qualified in 2015, 11 years ago. Registered with an NPI since 2015.

Years since qualifying
11
In the registry since
2015

Practice location Address checks out

602 Chase Ave
Cordova, AK 99574-0559
Phone: (907) 424-8000
Fax: (907) 424-8116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1700267143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Cordova