Provider Demographics
NPI:1578552626
Name:HIGHTOWER, HEATH HENRY (MSW, LCSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:HEATH
Middle Name:HENRY
Last Name:HIGHTOWER
Suffix:
Gender:M
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2922
Mailing Address - Country:US
Mailing Address - Phone:860-298-9189
Mailing Address - Fax:860-688-0004
Practice Address - Street 1:32 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2922
Practice Address - Country:US
Practice Address - Phone:860-298-9189
Practice Address - Fax:860-688-0004
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0054371041C0700X
MA1105721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT468360OtherVALUE OPTIONS
CT290601/252147OtherMHN
CT218938OtherCOMPSYCH CORPS.
CT140005437CT01OtherANTHEM BC/BS
CTANC 1198OtherOXFORD HEALTH INS.