Provider Demographics
NPI:1629234430
Name:MATTHEWS, HEATHER E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:E
Last Name:MATTHEWS
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 1:210 STATE ST
Mailing Address - Street 2:DNP- OUTPATIENT SERVICES 3RD FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5735
Mailing Address - Country:US
Mailing Address - Phone:504-897-4707
Mailing Address - Fax:504-896-4949
Practice Address - Street 1:210 STATE ST
Practice Address - Street 2:DNP- OUTPATIENT SERVICES 3RD FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5735
Practice Address - Country:US
Practice Address - Phone:504-897-4707
Practice Address - Fax:504-896-4949
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA73131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical