Laura M Heideman, LICSW
Counselor, Mental Health in Cambridge, Massachusetts
1366507964- Practice location
- 2464 Massachusetts Ave, 312, Cambridge, MA 02140-1646
- Phone
- 617-354-8655
- Fax
- —
- Last updated
- July 8, 2007
Laura M Heideman is a Counselor, Mental Health based in Cambridge, MA. Laura M Heideman practices in Cambridge, MA and has the professional credentials of LICSW. The NPI Number for Laura M Heideman is 1366507964 and holds a License No. 1024807 (MA). The current practice location address for Laura M Heideman is 2464 Massachusetts Ave, 312, Cambridge, MA 02140-1646 and can be reached out via phone at 617-354-8655.
Provider Profile Details
- NPI Number
- 1366507964
- Provider Name
- Laura M Heideman
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2464 Massachusetts Ave, 312, Cambridge, MA 02140-1646
- Phone Number
- 617-354-8655
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Other Names
- -- Laura S Meridy, LICSW (Former Name)
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2464 Massachusetts Ave
312
Cambridge, MA 02140-1646 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02140-1646
- Phone Number
- 617-354-8655
Provider Business Mailing Address Details
- Address
- 31 Amory Ave
Maynard, MA 01754-1157 - City
- Maynard
- State
- MA
- Zip
- 01754-1157
- Phone Number
- 617-354-8655
License Information
- License Number
- 1024807
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
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 Laura M Heideman, LICSW?
The NPI number of Laura M Heideman, LICSW is 1366507964. It was assigned on December 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Laura M Heideman, LICSW?
Laura M Heideman, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1024807.
Where does Laura M Heideman, LICSW practice?
The practice location is 2464 Massachusetts Ave, 312, Cambridge, MA 02140-1646. The office can be reached at 617-354-8655 (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 1366507964 directly on the NPPES registry website.