Provider Demographics
NPI:1619223674
Name:MCADAMS, HEATHER RENEE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:RENEE
Last Name:MCADAMS
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 1:132 DELAWARE ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-1486
Mailing Address - Country:US
Mailing Address - Phone:607-865-8255
Mailing Address - Fax:607-865-7252
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1301
Practice Address - Country:US
Practice Address - Phone:607-286-7909
Practice Address - Fax:607-286-3307
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086292-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker