Provider Demographics
NPI:1699020719
Name:HEPPLER, SANDRA DEAN (MA,LSW,CADC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DEAN
Last Name:HEPPLER
Suffix:
Gender:F
Credentials:MA,LSW,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 BRIARCLIFF TRL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-2214
Mailing Address - Country:US
Mailing Address - Phone:270-826-8054
Mailing Address - Fax:
Practice Address - Street 1:2931 BRIARCLIFF TRL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2214
Practice Address - Country:US
Practice Address - Phone:270-826-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-14
Last Update Date:2012-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0040101YA0400X
KY2014101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2140OtherLICENCED SOCIAL WORKER