Judith Heavey Calkins, LCSW

Individual provider Active NPI Clinical Social Worker · Hermiston, OR

NPI 1679901573 · NPPES record last updated Oct 31, 2013

Key facts

NPI
1679901573
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1876 (OR)
Practice address
485 W Locust Ave
Hermiston, OR 97838-1736
Phone
(541) 922-7379
NPI assigned
Oct 31, 2013
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1876 OR Yes

Addresses

Primary practice location

485 W Locust Ave
Hermiston, OR 97838-1736

Mailing address

PO Box 157
Umatilla, OR 97882-0157
Phone (541) 922-7379

Other providers in Hermiston, OR

All providers in Hermiston, OR · Clinical Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.