Provider Demographics
NPI:1306924675
Name:ABBEY, HEIDI (LCSW-R)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:ABBEY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:PLESKACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:531 WASHINGTON ST
Mailing Address - Street 2:SUITE 2401
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4084
Mailing Address - Country:US
Mailing Address - Phone:315-788-3332
Mailing Address - Fax:315-788-4584
Practice Address - Street 1:531 WASHINGTON ST
Practice Address - Street 2:SUITE 2401
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4084
Practice Address - Country:US
Practice Address - Phone:315-788-3332
Practice Address - Fax:315-788-4584
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072566104100000X
NY0764211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker