Provider Demographics
NPI:1275573545
Name:HEPLER, BETTEJANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BETTEJANE
Middle Name:
Last Name:HEPLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BETTE
Other - Middle Name:
Other - Last Name:HEPLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9001 TRUBADOR DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2483
Mailing Address - Country:US
Mailing Address - Phone:301-996-8024
Mailing Address - Fax:
Practice Address - Street 1:3231 SUPERIOR LN
Practice Address - Street 2:SUITE A5
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1923
Practice Address - Country:US
Practice Address - Phone:301-996-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD039201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical