Provider Demographics
NPI:1417345695
Name:GREENBERG, HEATHER MARIE (MS, LPCC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:GREENBERG
Suffix:
Gender:
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:249 W JACKSON ST # 401
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1811
Mailing Address - Country:US
Mailing Address - Phone:510-404-3497
Mailing Address - Fax:
Practice Address - Street 1:2635 ZANKER RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2107
Practice Address - Country:US
Practice Address - Phone:408-292-9353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC10525101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health