Provider Demographics
NPI:1114074176
Name:SCHNESKI, HEIDI J (LICSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:J
Last Name:SCHNESKI
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 1:22 GORDON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6442
Mailing Address - Country:US
Mailing Address - Phone:413-441-6778
Mailing Address - Fax:
Practice Address - Street 1:22 GORDON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6442
Practice Address - Country:US
Practice Address - Phone:413-441-6778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1117041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA31698OtherHEALTH NEW ENGLAND