Provider Demographics
NPI:1417081860
Name:HEARN, JAMES HUBBARD (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HUBBARD
Last Name:HEARN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 SILVERTON WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6493
Mailing Address - Country:US
Mailing Address - Phone:775-626-6517
Mailing Address - Fax:
Practice Address - Street 1:1000 LOCUST STREET
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-786-7200
Practice Address - Fax:775-337-2208
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0644C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0644COtherLICENSED CERTIFIED SOCIAL WORKER