Healthcare Provider Details

I. General information

NPI: 1447115878
Provider Name (Legal Business Name): HEATHER LYNN HERSHEY TOMPKINS LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 COUNTRY LN
ORRVILLE OH
44667-1118
US

IV. Provider business mailing address

1475 COUNTRY LN
ORRVILLE OH
44667-1118
US

V. Phone/Fax

Practice location:
  • Phone: 330-704-9452
  • Fax:
Mailing address:
  • Phone: 330-704-9452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.0008996
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: