Provider Demographics
NPI:1316089956
Name:ENGLISH, HEATHER L (LCSW)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 N 107TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6108
Mailing Address - Country:US
Mailing Address - Phone:480-530-7371
Mailing Address - Fax:
Practice Address - Street 1:4535 S LAKESHORE DR STE 1A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7046
Practice Address - Country:US
Practice Address - Phone:480-530-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-103061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ79499Medicare ID - Type Unspecified