Provider Demographics
NPI:1063087864
Name:ELSAAD, HEBA (LCSW)
Entity type:Individual
Prefix:
First Name:HEBA
Middle Name:
Last Name:ELSAAD
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 1:4535 S LAKESHORE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7046
Mailing Address - Country:US
Mailing Address - Phone:747-222-2179
Mailing Address - Fax:
Practice Address - Street 1:4535 S LAKESHORE DR STE 6
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:747-222-2179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-223771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical