Provider Demographics
NPI:1932416385
Name:GILSON, HEATHER J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:J
Last Name:GILSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 WOODSEDGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-2625
Mailing Address - Country:US
Mailing Address - Phone:302-382-6633
Mailing Address - Fax:
Practice Address - Street 1:705 WOODSEDGE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-2625
Practice Address - Country:US
Practice Address - Phone:302-382-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00008871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical