Provider Demographics
NPI:1437212438
Name:HEO, EILEEN WAI-LIN (LCSW)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:WAI-LIN
Last Name:HEO
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 1:465 34TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2815
Mailing Address - Country:US
Mailing Address - Phone:510-595-3533
Mailing Address - Fax:510-549-0736
Practice Address - Street 1:465 34TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2815
Practice Address - Country:US
Practice Address - Phone:510-595-3533
Practice Address - Fax:510-549-0736
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 7854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health