Provider Demographics
NPI:1043306566
Name:HESKIN, SHEILA (LICSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HESKIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 WAYZATA BLVD.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ST. LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-544-6806
Mailing Address - Fax:952-545-0098
Practice Address - Street 1:5219 WAYZATA BLVD.
Practice Address - Street 2:SUITE 240
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-544-6806
Practice Address - Fax:952-545-0098
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN62-62740OtherMEDICA
MN131509OtherUCARE
MN9117510 40583OtherPREFERRED ONE
MN620S6HEOtherBCBS
MNHP40261OtherHEALTH PARTNERS