Provider Demographics
NPI:1053629923
Name:REIMER, HEIDI JANE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:JANE
Last Name:REIMER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 COUNTY ROAD 95
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:NY
Mailing Address - Zip Code:12766-5034
Mailing Address - Country:US
Mailing Address - Phone:845-482-5535
Mailing Address - Fax:
Practice Address - Street 1:20 COMMUNITY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-2851
Practice Address - Country:US
Practice Address - Phone:845-292-8770
Practice Address - Fax:845-513-2110
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081657-1104100000X
NYNY-083819-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker