Healthcare Provider Details

I. General information

NPI: 1821241050
Provider Name (Legal Business Name): HEIDI MARIE VASPRA L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

786 D ST
FT RICHARDSON AK
99505-1023
US

IV. Provider business mailing address

786 D ST
JBER AK
99505-1023
US

V. Phone/Fax

Practice location:
  • Phone: 907-384-0405
  • Fax: 907-384-0853
Mailing address:
  • Phone: 907-384-0405
  • Fax: 907-384-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3507
License Number StateHI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: