Provider Demographics
NPI:1093017444
Name:PRICE, HEATHER N (ACSW, LISW-S)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:PRICE
Suffix:
Gender:
Credentials:ACSW, LISW-S
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:N
Other - Last Name:THACKSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LISW-S, C-DBT
Mailing Address - Street 1:4721 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-6107
Mailing Address - Country:US
Mailing Address - Phone:855-577-7284
Mailing Address - Fax:
Practice Address - Street 1:4721 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-6107
Practice Address - Country:US
Practice Address - Phone:855-577-7284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.10009081041C0700X
OHI.1201521.SUPV1041C0700X
1041C0700X
OHI.1201521-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical