Provider Demographics
NPI:1700990751
Name:STONE, HEATHER NEAL (LISW CP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NEAL
Last Name:STONE
Suffix:
Gender:F
Credentials:LISW CP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 C CLEVELAND CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-298-0355
Mailing Address - Fax:864-239-6968
Practice Address - Street 1:7 C CLEVELAND CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-298-0355
Practice Address - Fax:864-239-6968
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ32125Medicare ID - Type Unspecified