Provider Demographics
NPI:1881887677
Name:KNOX, HEATHER VICTORIA TRIMBLE (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:VICTORIA TRIMBLE
Last Name:KNOX
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:KNOX
Other - Last Name:HUSSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1600 CRAIN HWY S
Mailing Address - Street 2:STE 503
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5577
Mailing Address - Country:US
Mailing Address - Phone:443-354-1200
Mailing Address - Fax:410-553-0019
Practice Address - Street 1:1600 CRAIN HWY S
Practice Address - Street 2:STE 503
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5577
Practice Address - Country:US
Practice Address - Phone:443-354-1200
Practice Address - Fax:410-553-0019
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD107561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical