Provider Demographics
NPI:1033341300
Name:TERWISKE, HEATHER L (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:L
Last Name:TERWISKE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:KLEINHELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:P.O. BOX 769
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47547-0769
Mailing Address - Country:US
Mailing Address - Phone:812-482-3020
Mailing Address - Fax:812-482-6409
Practice Address - Street 1:488 W. HOSPITAL RD.
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454
Practice Address - Country:US
Practice Address - Phone:812-723-4301
Practice Address - Fax:812-723-4306
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IN33005726A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical