Ms. Heidi L Lively, LCSW
Social Worker, Clinical in Woodbridge, Connecticut
1174694202- Practice location
- 15 Osborne Ln, Woodbridge, CT 06525-1728
- Phone
- 207-522-3676
- Fax
- —
- Last updated
- October 31, 2023
Heidi Lee Lively is a Social Worker, Clinical based in Woodbridge, CT. Heidi Lee Lively practices in Woodbridge, CT and has the professional credentials of LCSW. The NPI Number for Heidi Lee Lively is 1174694202 and holds a License No. 009440 (CT). The current practice location address for Heidi Lee Lively is 15 Osborne Ln, Woodbridge, CT 06525-1728 and can be reached out via phone at 207-522-3676.
Provider Profile Details
- NPI Number
- 1174694202
- Provider Name
- Heidi Lee Lively
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Osborne Ln, Woodbridge, CT 06525-1728
- Phone Number
- 207-522-3676
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 12, 2006
- Last Update Date
- October 31, 2023
- Certification Date
- October 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Osborne Ln
Woodbridge, CT 06525-1728 - City
- Woodbridge
- State
- Connecticut
- Zip
- 06525-1728
- Phone Number
- 207-522-3676
Provider Business Mailing Address Details
- Address
- 15 Osborne Ln
Woodbridge, CT 06525-1728 - City
- Woodbridge
- State
- CT
- Zip
- 06525-1728
- Phone Number
- 207-522-3676
License Information
- License Number (1)
- 009440
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- ME298967
- License State (2)
- ME
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Heidi L Lively, LCSW?
The NPI number of Ms. Heidi L Lively, LCSW is 1174694202. It was assigned on November 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Heidi L Lively, LCSW?
Ms. Heidi L Lively, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009440.
Where does Ms. Heidi L Lively, LCSW practice?
The practice location is 15 Osborne Ln, Woodbridge, CT 06525-1728. The office can be reached at 207-522-3676 (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 1174694202 directly on the NPPES registry website.