Provider Demographics
NPI:1861043473
Name:HEPBURN, MEREDITH (LMSW, MPH)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:HEPBURN
Suffix:
Gender:F
Credentials:LMSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 RICHELIEU DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5351
Mailing Address - Country:US
Mailing Address - Phone:205-478-3337
Mailing Address - Fax:
Practice Address - Street 1:908 20TH ST SOUTH RM487
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-2610
Practice Address - Country:US
Practice Address - Phone:205-478-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4681G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical