Provider Demographics
NPI:1952906349
Name:HEATH, HANNAH WILLIAMS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:WILLIAMS
Last Name:HEATH
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 1:112 MONTVIEW FOREST DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2200
Mailing Address - Country:US
Mailing Address - Phone:434-215-8656
Mailing Address - Fax:800-486-0913
Practice Address - Street 1:22174 TIMBERLAKE RD STE D
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5055
Practice Address - Country:US
Practice Address - Phone:434-525-9006
Practice Address - Fax:800-486-0913
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040121111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical