Provider Demographics
NPI:1114120714
Name:LERMINIAUX, HEATHER ANN (LICSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:LERMINIAUX
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 1:75 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8103
Mailing Address - Country:US
Mailing Address - Phone:508-879-1201
Mailing Address - Fax:
Practice Address - Street 1:860 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5260
Practice Address - Country:US
Practice Address - Phone:508-498-1276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1103681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical