MEDICARE: MS. HEATHER M HITCHENS 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	Q1-0001654	DE

General Provider Information

NPI Number	:	1528532025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER M HITCHENS LCSW

Provider Business Mailing Address
First Line	:	319 BEVERLY PL
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19809-2907
Country	:	US
Telephone Number	:	302-750-9650
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 BEVERLY PL
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19809-2907
Country	:	US
Telephone Number	:	302-750-9650
Fax Number	:

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

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	01/17/2019

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