Blue Heron Wellness LLC
NPI 1679063424 · Clinical Social Worker · Lexington, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Heron Wellness LLC is a Clinical Social Worker organization in Lexington, SC (NPI 1679063424).
Provider details
- NPI number
- 1679063424
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Renea Mable, Owner(803) 429-9065
- License
- 10640 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2021-07-20
- Certified
- 2021-07-20
Frequently asked questions
- What is Blue Heron Wellness LLC's NPI number?
- Blue Heron Wellness LLC's National Provider Identifier (NPI) is 1679063424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Heron Wellness LLC?
- Blue Heron Wellness LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Blue Heron Wellness LLC located?
- Blue Heron Wellness LLC's practice location on file with NPPES is 719 S Lake Dr, Lexington, SC 29072-3432.
- What is Blue Heron Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Heron Wellness LLC is (803) 609-7792.
- Does Blue Heron Wellness LLC accept Medicare?
- Blue Heron Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Heron Wellness LLC?
- The authorized official listed on Blue Heron Wellness LLC's NPPES record is Renea Mable, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Heron Wellness LLC's NPI active?
- Yes — Blue Heron Wellness LLC's NPI (1679063424) is active in the NPPES registry as of the last update on 2021-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.