Healthcare Provider Details

I. General information

NPI: 1285651992
Provider Name (Legal Business Name): CATHERINE HEYMSFELD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18672 FLORIDA ST SUITE 202A
HUNTINGTON BEACH CA
92648-1925
US

IV. Provider business mailing address

205 LINCOLN AVE
HUNTINGTON BEACH CA
92648-3505
US

V. Phone/Fax

Practice location:
  • Phone: 310-947-5859
  • Fax:
Mailing address:
  • Phone: 310-947-5859
  • Fax: 714-960-6112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS20801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: