Provider Demographics
NPI:1891939559
Name:VANDERWERFF, HEIDI (LICSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:VANDERWERFF
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 GEORGIA AVE
Mailing Address - Street 2:SUITE 611
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3713
Mailing Address - Country:US
Mailing Address - Phone:202-509-4530
Mailing Address - Fax:
Practice Address - Street 1:8701 GEORGIA AVE
Practice Address - Street 2:SUITE 611
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3713
Practice Address - Country:US
Practice Address - Phone:202-509-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-25
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500789211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical