Judy H Heller in Philadelphia - Clinical

Judy H Heller - NPI 1750440061

Judy H Heller is a Clinical in Philadelphia, Pennsylvania. Judy H Heller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy H Heller is 1750440061. The last update date is 2007-07-08.

Judy H Heller's current location address is 209 S Bonsall St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155632706 and fax number 2155632706. The mailing address for Judy H Heller is 209 S Bonsall St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy H Heller
Address 209 S Bonsall St, Philadelphia, Pennsylvania
Phone Number 2155632706
Fax Number 2155632706
Sole Proprietor Y
Credentials MSW, ACSW,

NPI Number Detail

NPI Number 1750440061
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 209 S Bonsall St
City Philadelphia
State Pennsylvania (PA)
Post Code 191035507
Phone Number 2155632706
Fax Number 2155632706

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW013746
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
653007 PA HIGHMARKBLUESHIELD

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FAQs about Judy H Heller

What is the unique identifier code issued to Judy H Heller by the Centers for Medicare & Medicaid Services?

The Judy H Heller has been assigned the NPI (National Provider Identifier) 1750440061. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Judy H Heller?

The Judy H Heller is physically situated at 209 S Bonsall St, in the city of Philadelphia, state of PA, with the postal code 191035507.

What is Judy H Heller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Judy H Heller's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750440061 to Judy H Heller?

The Centers for Medicare & Medicaid Services originally issued the 1750440061 to Judy H Heller on 2006-12-06.

When was the information regarding Judy H Heller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Judy H Heller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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