Provider Demographics
NPI:1568020014
Name:VOLKL, HEIDI JOAN (MSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:JOAN
Last Name:VOLKL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:JOAN
Other - Last Name:DOUGLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3250 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2379
Mailing Address - Country:US
Mailing Address - Phone:314-531-1155
Mailing Address - Fax:
Practice Address - Street 1:7331 TULANE AVE APT 2W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-2908
Practice Address - Country:US
Practice Address - Phone:417-393-5973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical