Provider Demographics
NPI:1366028235
Name:HOWARD, HEATHER LANE (LCSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LANE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 S DALE MABRY HWY APT 1525
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3561
Mailing Address - Country:US
Mailing Address - Phone:412-477-0400
Mailing Address - Fax:
Practice Address - Street 1:3690 W GANDY BLVD # 184
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2608
Practice Address - Country:US
Practice Address - Phone:412-477-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW182281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical