Provider Demographics
NPI:1215180385
Name:WHITNEY, HEIDI ANNE (LCSW, IMHE (III))
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:ANNE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LCSW, IMHE (III)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 EUDORA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3066
Mailing Address - Country:US
Mailing Address - Phone:303-883-4185
Mailing Address - Fax:
Practice Address - Street 1:3401 EUDORA STREET
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-3066
Practice Address - Country:US
Practice Address - Phone:303-883-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical