Provider Demographics
NPI:1457557712
Name:LANIER, HEATHER WILLIAMS (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:WILLIAMS
Last Name:LANIER
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PATTON LN
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-7600
Mailing Address - Country:US
Mailing Address - Phone:910-512-1134
Mailing Address - Fax:
Practice Address - Street 1:1017 ASHES DR STE 104
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8307
Practice Address - Country:US
Practice Address - Phone:910-512-1134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0056871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106713Medicaid
NC6106713Medicaid