Provider Demographics
NPI:1922539204
Name:HEYMANN, ERINN (LISW)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:HEYMANN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 GOLDEN GATE BLVD APT A205
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1894
Mailing Address - Country:US
Mailing Address - Phone:330-881-2587
Mailing Address - Fax:
Practice Address - Street 1:1563 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1720
Practice Address - Country:US
Practice Address - Phone:216-485-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.17002161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical