Provider Demographics
NPI:1922172212
Name:HALPERIN, A.HEATHER E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:A.HEATHER
Middle Name:E
Last Name:HALPERIN
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 1:5363 BALBOA BLVD
Mailing Address - Street 2:SUITE 436
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2805
Mailing Address - Country:US
Mailing Address - Phone:818-787-2838
Mailing Address - Fax:818-905-6610
Practice Address - Street 1:5363 BALBOA BLVD
Practice Address - Street 2:SUITE 436
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2805
Practice Address - Country:US
Practice Address - Phone:818-787-2838
Practice Address - Fax:818-905-6610
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical