Provider Demographics
NPI:1538380225
Name:TOMS, HEATHER NOEL (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:NOEL
Last Name:TOMS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:NOEL
Other - Last Name:FICKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:CRESTLINE
Mailing Address - State:CA
Mailing Address - Zip Code:92325-0161
Mailing Address - Country:US
Mailing Address - Phone:909-744-2657
Mailing Address - Fax:
Practice Address - Street 1:966 E HOSPITALITY LN
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2818
Practice Address - Country:US
Practice Address - Phone:909-796-8421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator