Heidi Marie Que, LCSW-C

Individual provider Active NPI Clinical Social Worker · Timonium, MD

NPI 1710201306 · NPPES record last updated Jan 28, 2011

Key facts

NPI
1710201306
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
13664 (MD)
Practice address
1931 Greenspring Dr
Timonium, MD 21093-4113
Phone
(410) 453-9553
Fax
(410) 308-8926
NPI assigned
Mar 25, 2010
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13664 MD Yes

Addresses

Primary practice location

1931 Greenspring Dr
Timonium, MD 21093-4113

Mailing address

1931 Greenspring Dr
Timonium, MD 21093-4113
Phone (410) 453-9553

Other identifiers

IdentifierTypeStateIssuer
13664OtherMDLICENSE

Other names

  • Heide Marie Willems Former name

Other providers in Timonium, MD

All providers in Timonium, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.