Provider Demographics
NPI:1982812954
Name:BEISPIEL, HEIDI F (LMSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:F
Last Name:BEISPIEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BELLEMEADE AVE
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1870
Mailing Address - Country:US
Mailing Address - Phone:631-724-9462
Mailing Address - Fax:631-724-1332
Practice Address - Street 1:15 BELLEMEADE AVE
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1870
Practice Address - Country:US
Practice Address - Phone:631-724-9462
Practice Address - Fax:631-724-1332
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074243-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical