Active NPIIndividual providerSole proprietor

Heidi O'Donnell, MSW LCSW

Social Worker, Clinical in Mountain Lakes, New Jersey

NPI Number1063760619
Practice location
355 Route 46 W, Mountain Lakes, NJ 07046-1744
Fax
—
Last updated
March 31, 2014

Heidi O'Donnell is a Social Worker, Clinical based in Mountain Lakes, NJ. Heidi O'Donnell practices in Mountain Lakes, NJ and has the professional credentials of MSW LCSW. The NPI Number for Heidi O'Donnell is 1063760619 and holds a License No. 44SC05576400 (NJ). The current practice location address for Heidi O'Donnell is 355 Route 46 W, Mountain Lakes, NJ 07046-1744 and can be reached out via phone at 201-874-2220.

Provider Profile Details

NPI Number
1063760619
Provider Name
Heidi O'Donnell
Credential
MSW LCSW
Provider Entity Type
Individual
Gender
Female
Address
355 Route 46 W, Mountain Lakes, NJ 07046-1744
Phone Number
201-874-2220
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Heidi M. Vilsack (Former Name)
Provider Enumeration Date
August 29, 2012
Last Update Date
March 31, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Route 46 W
Mountain Lakes, NJ 07046-1744
Zip
07046-1744
Phone Number
201-874-2220
Mountain Lakes, NJ 07046Get directions →

Provider Business Mailing Address Details

Address
355 Route 46 W
Mountain Lakes, NJ 07046-1744
City
Mountain Lakes
State
NJ
Zip
07046-1744
Phone Number
201-874-2220

License Information

License Number
44SC05576400
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heidi O'Donnell, MSW LCSW?

The NPI number of Heidi O'Donnell, MSW LCSW is 1063760619. It was assigned on August 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Heidi O'Donnell, MSW LCSW?

Heidi O'Donnell, MSW LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05576400.

Where does Heidi O'Donnell, MSW LCSW practice?

The practice location is 355 Route 46 W, Mountain Lakes, NJ 07046-1744. The office can be reached at 201-874-2220 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063760619 directly on the NPPES registry website.

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