Provider Demographics
NPI:1366050270
Name:BARR, HEIDI (LCSW, CSAT)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:LCSW, CSAT
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, CSAT
Mailing Address - Street 1:419 OLIVER RD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1033
Mailing Address - Country:US
Mailing Address - Phone:312-529-0229
Mailing Address - Fax:
Practice Address - Street 1:419 OLIVER RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1033
Practice Address - Country:US
Practice Address - Phone:312-529-0229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490223561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical