Provider Demographics
NPI:1235144171
Name:WARNER, HEATHER ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANN
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:CYMBALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:559 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:AMSTON
Mailing Address - State:CT
Mailing Address - Zip Code:06231
Mailing Address - Country:US
Mailing Address - Phone:860-530-1355
Mailing Address - Fax:
Practice Address - Street 1:305 BROADWAY
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:860-204-0688
Practice Address - Fax:860-204-0688
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0063491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical