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NPI Code Detail

MEDICARE: JACINDA J HECKER APSW

MEDICARE: JACINDA J HECKER APSW
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
1104100000XSocial Worker134857WI
21041C0700XClinical Social Worker12742WI

General Provider Information

NPI Number : 1770320681
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACINDA J HECKER APSW
Provider Business Mailing Address
First Line : 3150 GERSHWIN DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-4328
Country : US
Telephone Number : 920-391-4700
Fax Number :
Provider Business Practice Location Address
First Line : 3150 GERSHWIN DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-4328
Country : US
Telephone Number : 920-391-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 01/08/2026

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Directions to “ JACINDA J HECKER APSW” Practice Location

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