Provider Demographics
NPI:1679732986
Name:HEIM, RAYMOND D (LCSWC)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:D
Last Name:HEIM
Suffix:
Gender:M
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9810 PATUXENT WOODS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1595
Mailing Address - Country:US
Mailing Address - Phone:410-290-6432
Mailing Address - Fax:410-290-6604
Practice Address - Street 1:9810 PATUXENT WOODS DR
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1595
Practice Address - Country:US
Practice Address - Phone:410-290-6432
Practice Address - Fax:410-290-6604
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD140961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical