Provider Demographics
NPI:1558352310
Name:HOWARD, HEIDI H (LCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:H
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 1:10220 N 31ST AVE
Mailing Address - Street 2:#205
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-9581
Mailing Address - Country:US
Mailing Address - Phone:602-843-0000
Mailing Address - Fax:602-997-1305
Practice Address - Street 1:10220 N 31ST AVE
Practice Address - Street 2:#205
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-9581
Practice Address - Country:US
Practice Address - Phone:602-843-0000
Practice Address - Fax:602-997-1305
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW010011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical