Andrea Durant Heitz in Pomona - Clinical
Andrea Durant Heitz - NPI 1215149240
Andrea Durant Heitz is a Clinical in Pomona, California. Andrea Durant Heitz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Durant Heitz is 1215149240. The last update date is 2021-10-23.
Andrea Durant Heitz's current location address is 5 Monte Diablo Ln, Pomona, California. You can contact this provider via phone number 9094384554 and fax number 9096205694. The mailing address for Andrea Durant Heitz is 5 Monte Diablo Ln, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Durant Heitz |
|---|---|
| Address | 5 Monte Diablo Ln, Pomona, California |
| Phone Number | 9094384554 |
| Fax Number | 9096205694 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1215149240 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2021-10-23 |
Provider Mailing Address Detail
| Address | 5 Monte Diablo Ln |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917664778 |
| Phone Number | 9094384554 |
| Fax Number | 9096205694 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 22697 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22697 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Andrea Durant Heitz by the Centers for Medicare & Medicaid Services?
The Andrea Durant Heitz has been issued the NPI (National Provider Identifier) 1215149240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrea Durant Heitz?
The Andrea Durant Heitz is situated at 5 Monte Diablo Ln, in the city of Pomona, state of CA, with the zip code 917664778.
What is Andrea Durant Heitz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrea Durant Heitz is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215149240 to Andrea Durant Heitz?
The Centers for Medicare & Medicaid Services assigned the 1215149240 to Andrea Durant Heitz on 2007-05-03.
As of what date was the information regarding Andrea Durant Heitz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrea Durant Heitz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-23.
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