Provider Demographics
NPI:1003007154
Name:CASHELL, HEATHER MAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MAE
Last Name:CASHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 DUTCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-9619
Mailing Address - Country:US
Mailing Address - Phone:406-381-2592
Mailing Address - Fax:
Practice Address - Street 1:170 S 2ND ST
Practice Address - Street 2:STE C
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2561
Practice Address - Country:US
Practice Address - Phone:406-381-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical