Provider Demographics
NPI:1073672382
Name:DRESSER-HECKMAN, DIANNA JEANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIANNA
Middle Name:JEANNE
Last Name:DRESSER-HECKMAN
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 1:6551 LOISDALE CT
Mailing Address - Street 2:SUITE 155
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1828
Mailing Address - Country:US
Mailing Address - Phone:703-921-0692
Mailing Address - Fax:
Practice Address - Street 1:6551 LOISDALE CT
Practice Address - Street 2:SUTIE 155
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1828
Practice Address - Country:US
Practice Address - Phone:703-921-0692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040031291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10086825Medicaid
VA10086825Medicaid