Provider Demographics
NPI:1831266279
Name:HEIMER, YAEL E (LCSW)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:E
Last Name:HEIMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YAEL
Other - Middle Name:E
Other - Last Name:BARKAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11275 SW 128TH COURT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4741
Mailing Address - Country:US
Mailing Address - Phone:305-387-2757
Mailing Address - Fax:305-408-4169
Practice Address - Street 1:11275 SW 128TH COURT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4741
Practice Address - Country:US
Practice Address - Phone:305-387-2757
Practice Address - Fax:305-408-4169
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW28104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
066566OtherHUMANA VALUE D UBH UHC
7495777OtherGHJ VALUE OPTIONS
Z2249Medicare ID - Type Unspecified