Provider Demographics
NPI:1609373836
Name:STERLIN, HEATHER PEREZ (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:PEREZ
Last Name:STERLIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 PARK ST APT 13D
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1738
Mailing Address - Country:US
Mailing Address - Phone:617-922-3908
Mailing Address - Fax:
Practice Address - Street 1:38 PARK ST APT 13D
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1738
Practice Address - Country:US
Practice Address - Phone:617-922-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1192341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical