Provider Demographics
NPI:1326270521
Name:MARSOLEK, HEIDI LUCINDA DAWN (MA, LMHC)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:LUCINDA DAWN
Last Name:MARSOLEK
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:DR
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:SHENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:808 N I ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2014
Mailing Address - Country:US
Mailing Address - Phone:425-293-3161
Mailing Address - Fax:
Practice Address - Street 1:610 N STEELE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-7714
Practice Address - Country:US
Practice Address - Phone:425-870-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2170242Medicaid