Provider Demographics
NPI:1790792018
Name:SCHORR KOURPAS, HEATHER JILL (LCSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JILL
Last Name:SCHORR KOURPAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 SCHOOLEYS MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4000
Mailing Address - Country:US
Mailing Address - Phone:908-850-4552
Mailing Address - Fax:908-850-6364
Practice Address - Street 1:486 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4000
Practice Address - Country:US
Practice Address - Phone:908-850-4552
Practice Address - Fax:908-850-6364
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049998001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical