Provider Demographics
NPI:1720450034
Name:BARON, HEATHER (MED, MSS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:MED, MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 E SWEDESFORD RD # 173
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1462
Mailing Address - Country:US
Mailing Address - Phone:610-995-6319
Mailing Address - Fax:
Practice Address - Street 1:295 E SWEDESFORD RD # 173
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1462
Practice Address - Country:US
Practice Address - Phone:610-995-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0206411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical