Provider Demographics
NPI:1750156832
Name:HEFNER, GINNI LYNNE (LCSWA)
Entity type:Individual
Prefix:
First Name:GINNI
Middle Name:LYNNE
Last Name:HEFNER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:GINNI
Other - Middle Name:LYNNE
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1508 RUNNING DEER DR NW
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8039
Mailing Address - Country:US
Mailing Address - Phone:828-485-7073
Mailing Address - Fax:
Practice Address - Street 1:255 18TH ST SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1364
Practice Address - Country:US
Practice Address - Phone:828-322-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0199761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical