MEDICARE: HEATHER A HUITING 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
1	1041C0700X	Clinical Social Worker	LCSW-15434	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497173421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A HUITING LCSW

Provider Business Mailing Address
First Line	:	18001 N 79TH AVE STE A10
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8389
Country	:	US
Telephone Number	:	623-377-9998
Fax Number	:

Provider Business Practice Location Address
First Line	:	18001 N 79TH AVE STE A10
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8389
Country	:	US
Telephone Number	:	623-377-9998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	10/23/2025

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Directions to “ HEATHER A HUITING LCSW” Practice Location

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