Provider Demographics
NPI:1619596533
Name:HEARN, TONESHA DENISE (MSSW)
Entity Type:Individual
Prefix:
First Name:TONESHA
Middle Name:DENISE
Last Name:HEARN
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 STONEBENCH CIR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-4195
Mailing Address - Country:US
Mailing Address - Phone:502-333-5313
Mailing Address - Fax:
Practice Address - Street 1:1205 STONEBENCH CIR
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-4195
Practice Address - Country:US
Practice Address - Phone:502-333-5313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker