Provider Demographics
NPI:1710921820
Name:HEINONEN, DENNIS FRANK (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:FRANK
Last Name:HEINONEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O ACCMHS
Mailing Address - Street 2:PO DRAWER 130
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-0130
Mailing Address - Country:US
Mailing Address - Phone:269-673-6617
Mailing Address - Fax:269-673-2738
Practice Address - Street 1:C/O ACCMHS
Practice Address - Street 2:PO DRAWER 130
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-0130
Practice Address - Country:US
Practice Address - Phone:269-673-6617
Practice Address - Fax:269-673-2738
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010650931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN21780007Medicare ID - Type UnspecifiedMEDICARE