Provider Demographics
NPI:1861064370
Name:LAW, HEATHER JEAN (CSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:JEAN
Last Name:LAW
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57032-2149
Mailing Address - Country:US
Mailing Address - Phone:605-900-6345
Mailing Address - Fax:
Practice Address - Street 1:815 LOIS LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:SD
Practice Address - Zip Code:57032-2149
Practice Address - Country:US
Practice Address - Phone:605-900-6345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD60181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical