Provider Demographics
NPI:1396297180
Name:HEIT, ABIGAIL (LICSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HEIT
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 1:21561 WELBY TER
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-5049
Mailing Address - Country:US
Mailing Address - Phone:224-628-6109
Mailing Address - Fax:
Practice Address - Street 1:21561 WELBY TER
Practice Address - Street 2:
Practice Address - City:BROADLANDS
Practice Address - State:VA
Practice Address - Zip Code:20148-5049
Practice Address - Country:US
Practice Address - Phone:224-628-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500810221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical