Provider Demographics
NPI:1003979253
Name:HALIK, HEIDE ANNE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:HEIDE
Middle Name:ANNE
Last Name:HALIK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 OLD SOLOMONS ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21041
Mailing Address - Country:US
Mailing Address - Phone:410-266-9747
Mailing Address - Fax:410-266-9749
Practice Address - Street 1:133 OLD SOLOMONS ISLAND ROAD
Practice Address - Street 2:BAYSHORE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-266-9747
Practice Address - Fax:410-266-9749
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11583104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
64614201OtherBCBS OF MD
MD023579200Medicaid
64614201OtherBCBS OF MD