Healthcare Provider Details

I. General information

NPI: 1225234198
Provider Name (Legal Business Name): HEIDI LYN KASSNER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIDI LYN PERKINS MSW

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 S PLEASANT ST
SHARON MA
02067-1923
US

IV. Provider business mailing address

1563 N MAIN ST SUITE 202
FALL RIVER MA
02720-2983
US

V. Phone/Fax

Practice location:
  • Phone: 508-857-7762
  • Fax:
Mailing address:
  • Phone: 508-324-1060
  • Fax: 508-679-8590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115249
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberG12787
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: