Lucy Carole Heggenstaller, M.S.W., L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Loganton, PA
NPI 1487734851 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1487734851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW013497 (PA)
- Practice address
- 2367 E Winter Rd
Loganton, PA 17747 - Phone
- (570) 295-9469
- Fax
- (570) 725-2327
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013497 | PA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW013497 | PA | |
| Clinical Social Worker | 1041C0700X | CW013497 | PA | Yes |
Addresses
Primary practice location
2367 E Winter Rd
Loganton, PA 17747
Mailing address
2377 E Winter Rd
Loganton, PA 17747-9341
Phone (570) 295-9469
Other practice location 1
1012 Washington Blvd Ste 2
Williamsport, PA 17701-3679
Phone (570) 295-9469
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487734851 | Other | PA | HIGHMARK BLUE SHIELD |
| 02096301 | Other | PA | CAPITAL BLUE CROSS |
Other providers in Loganton, PA
All providers in Loganton, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.