Healthcare Provider Details

I. General information

NPI: 1891459004
Provider Name (Legal Business Name): HEATHER HARVEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER HUBER

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7658 BELAIR RD
NOTTINGHAM MD
21236-4020
US

IV. Provider business mailing address

7658 BELAIR RD
NOTTINGHAM MD
21236-4020
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-2169
  • Fax:
Mailing address:
  • Phone: 410-800-2169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number27932
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: