Provider Demographics
NPI:1710473293
Name:HARRINGTON, HEATHER (MSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:JO
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1113 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1223
Mailing Address - Country:US
Mailing Address - Phone:720-226-1020
Mailing Address - Fax:
Practice Address - Street 1:1113 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1223
Practice Address - Country:US
Practice Address - Phone:720-226-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0126531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical