Provider Demographics
NPI:1700858297
Name:HEIN, NANCY J (MSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:HEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1812
Mailing Address - Country:US
Mailing Address - Phone:269-345-2814
Mailing Address - Fax:
Practice Address - Street 1:1662 E CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-4410
Practice Address - Country:US
Practice Address - Phone:269-321-8564
Practice Address - Fax:269-321-8641
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010170981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical