Provider Demographics
NPI:1760610760
Name:HECK, TRENT MICHAEL (LMSW)
Entity Type:Individual
Prefix:MR
First Name:TRENT
Middle Name:MICHAEL
Last Name:HECK
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 1:2533 SCOTT BLVD SE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-8195
Mailing Address - Country:US
Mailing Address - Phone:319-338-9212
Mailing Address - Fax:319-354-8956
Practice Address - Street 1:2533 SCOTT BLVD SE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-8195
Practice Address - Country:US
Practice Address - Phone:319-338-9212
Practice Address - Fax:319-354-8956
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007277104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker