Heritage, Heather

Heritage, Heather is an sole proprietor health care provider with primary practice located at 5168 Honpie Rd , Placerville CA 95667-8682. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Heritage, Heather can be contacted via phone (530) 387-4975.

Contact Information

Primary practice address
5168 Honpie Rd Placerville CA 95667-8682
Phone: (530) 387-4975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9549-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 128160-121

Profile Details

NPI number 1770047839
LBN Legal business name Heritage, Heather
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2019
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770047839 NPPES
Wisconsin MEDICAID 100085082

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