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NPI Code Detail

MEDICARE: HEIDI VANDERWERFF LICSW

MEDICARE:   HEIDI  VANDERWERFF  LICSW
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 WorkerLC50078921DC

General Provider Information

NPI Number : 1891939559
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI VANDERWERFF LICSW
Provider Business Mailing Address
First Line : 508 KENNEDY ST NW STE 304
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-3137
Country : US
Telephone Number : 202-734-4774
Fax Number :
Provider Business Practice Location Address
First Line : 508 KENNEDY ST NW STE 304
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-3137
Country : US
Telephone Number : 202-734-4774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2009
Last Update Date : 04/23/2025

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Directions to “ HEIDI VANDERWERFF LICSW” Practice Location

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