Healthcare Provider Details

I. General information

NPI: 1538464326
Provider Name (Legal Business Name): WENDY A HEUMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 ROUTE 52
HOPEWELL JUNCTION NY
12533-3507
US

IV. Provider business mailing address

126 MONTGOMERY ST
RHINEBECK NY
12572-1109
US

V. Phone/Fax

Practice location:
  • Phone: 845-897-6700
  • Fax: 845-897-6719
Mailing address:
  • Phone: 845-876-6804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number026391
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: