Doctor Name: | HEIDI KAMINSKI |
NPI Number: | 1013363415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | LCSW15436 |
Business Practice Address: | 7747 W Deer Valley Rd Ste 255 Peoria, AZ - 853822124 |
Business Phone Number: | 6023165155 |
Business Fax Number: | |
Mailing Address: | 6627 W Caribbean Ln, GLENDALE |
State: | AZ |
Postal Code: | 853063161 |
Phone Number: | 6023165155 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW15436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |