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NPI Code Detail

MEDICARE: HEIDI FRITZ MSW, LCSW

MEDICARE:   HEIDI  FRITZ  MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW016210PA

General Provider Information

NPI Number : 1184851172
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI FRITZ MSW, LCSW
Provider Business Mailing Address
First Line : 5608 DRAWBRIDGE CT
Second Line :
City : LIMERICK
State : PA
Zip : 19468-1380
Country : US
Telephone Number : 610-630-2111
Fax Number : 610-630-4003
Provider Business Practice Location Address
First Line : 3125 RIDGE PIKE
Second Line :
City : EAGLEVILLE
State : PA
Zip : 19403-1407
Country : US
Telephone Number : 610-630-2111
Fax Number : 610-630-4003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/17/2009

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