Melissa Marie Heidemann
Clinical Social Worker
8445 Munson Rd
Mentor
, Ohio 44060-2410
Melissa Marie Heidemann
Clinical Social Worker
8445 Munson Rd
Mentor
, Ohio 44060-2410
(440) 205-2417
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Melissa Marie Heidemann
- 8445 Munson Rd
- Mentor, OH
- Zip : 44060-2410
- Fax : (440) 205-2417
- Phone : (440) 255-1700
Second Address
- Melissa Marie Heidemann
- 8445 Munson Rd
- Mentor, OH
- Zip : 44060-2410
- Fax : (440) 205-2417
- Phone : (440) 255-1700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | I.1100197 | OH |
National Provider Identifier
| NPI | 1003194903 |
|---|---|
| Provider Name | Melissa Marie Heidemann |
| First Address | Mentor, OH 44060-2410 |
| Second Address | Mentor, OH 44060-2410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2011 |
| Last Update Date | 26/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2069738 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.