Healthcare Provider Details

I. General information

NPI: 1710783162
Provider Name (Legal Business Name): HEATHER DAWN MCLAUGHLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14737 COUNTY ROAD 3
LONGMONT CO
80504-9695
US

IV. Provider business mailing address

14737 COUNTY ROAD 3
LONGMONT CO
80504-9695
US

V. Phone/Fax

Practice location:
  • Phone: 303-351-1818
  • Fax:
Mailing address:
  • Phone: 303-351-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09933622
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: