Provider Demographics
NPI:1245332048
Name:ABRAMS, HEIDI Z
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:Z
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:ZIMMERLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW CADAC
Mailing Address - Street 1:385 RED TOP ROAD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1643
Mailing Address - Country:US
Mailing Address - Phone:774-212-0389
Mailing Address - Fax:
Practice Address - Street 1:23 25 BAY STATE COURT
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1643
Practice Address - Country:US
Practice Address - Phone:774-212-0389
Practice Address - Fax:508-240-5448
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1079371041C0700X
MA0905AD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
219929OtherMAGELLAN
461430OtherTUFTS
MAP07689OtherBLUE CROSS BLUE SHIELD
155144OtherTRICARE
MA1852795Medicaid
MAP07689OtherBLUE CROSS BLUE SHIELD
MA1852795Medicaid