Provider Demographics
NPI:1184851172
Name:FRITZ, HEIDI (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 DRAWBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1380
Mailing Address - Country:US
Mailing Address - Phone:610-630-2111
Mailing Address - Fax:610-630-4003
Practice Address - Street 1:3125 RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1407
Practice Address - Country:US
Practice Address - Phone:610-630-2111
Practice Address - Fax:610-630-4003
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0162101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical