Jennifer Lynn Heintz, LICSW

Individual provider Active NPI Clinical Social Worker · New London, NH

NPI 1639896756 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1639896756
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089.0098983 (VT)
Practice address
35 Newport Rd
New London, NH 03257-5413
Phone
(603) 865-1321
Fax
(603) 865-1327
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
089.0098983VTMDClinical Social Worker
2898NHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2898 NH
Clinical Social Worker 1041C0700X 089.0098983 VT Yes

Addresses

Primary practice location

35 Newport Rd
New London, NH 03257-5413

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other providers in New London, NH

All providers in New London, NH · Clinical Social Worker in New Hampshire

Sources for this page

Verify at the official NPI Registry.