Provider Demographics
NPI:1831128784
Name:JOSLIN, HEIDI LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:LYNN
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LYNN KJENSTAD
Other - Last Name:JOSLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1611 W BLOSSER RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-2919
Mailing Address - Country:US
Mailing Address - Phone:775-990-9032
Mailing Address - Fax:775-537-6347
Practice Address - Street 1:2220 NEVADA WEST BLVD
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5879
Practice Address - Country:US
Practice Address - Phone:775-990-9032
Practice Address - Fax:775-537-6347
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6448-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN098494900Medicaid
MN098494900Medicaid