Provider Demographics
NPI:1124682075
Name:HEFLIN, CATHERINE FREEMAN (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FREEMAN
Last Name:HEFLIN
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 1:1011 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-5303
Mailing Address - Country:US
Mailing Address - Phone:804-307-6697
Mailing Address - Fax:
Practice Address - Street 1:1975 ELK HILL RD
Practice Address - Street 2:
Practice Address - City:GOOCHLAND
Practice Address - State:VA
Practice Address - Zip Code:23063-3318
Practice Address - Country:US
Practice Address - Phone:804-457-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040109281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical