Provider Demographics
NPI:1659446847
Name:BERCH-HEYMAN, ELEANOR KATE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:KATE
Last Name:BERCH-HEYMAN
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 1:540 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01062-4515
Mailing Address - Country:US
Mailing Address - Phone:413-588-7205
Mailing Address - Fax:413-545-9602
Practice Address - Street 1:111 COUNTY CIR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9255
Practice Address - Country:US
Practice Address - Phone:413-545-2337
Practice Address - Fax:413-545-9602
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1150031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty