MEDICARE: HEATHER GUINN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	34008604A	IN

General Provider Information

NPI Number	:	1952838195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER GUINN LCSW

Provider Business Mailing Address
First Line	:	101 N PLAZA EAST BLVD STE 103A
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2870
Country	:	US
Telephone Number	:	618-383-2611
Fax Number	:	812-329-4141

Provider Business Practice Location Address
First Line	:	101 N PLAZA EAST BLVD STE 103A
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2844
Country	:	US
Telephone Number	:	618-383-2611
Fax Number	:	812-329-4141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2017
Last Update Date	:	06/19/2026

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Directions to “ HEATHER GUINN LCSW” Practice Location

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