Provider Demographics
NPI:1194501692
Name:HEINZE, SABRINA DAWN (LCSW 73559)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:DAWN
Last Name:HEINZE
Suffix:
Gender:F
Credentials:LCSW 73559
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 REAL RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1821
Mailing Address - Country:US
Mailing Address - Phone:661-302-7425
Mailing Address - Fax:
Practice Address - Street 1:356 REAL RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1821
Practice Address - Country:US
Practice Address - Phone:661-302-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CA735591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical