Provider Demographics
NPI:1699979385
Name:HEIMANN, CAROLE FAYE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:FAYE
Last Name:HEIMANN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11736 BATTLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REMINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22734-2152
Mailing Address - Country:US
Mailing Address - Phone:540-439-3389
Mailing Address - Fax:
Practice Address - Street 1:54 E LEE ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3325
Practice Address - Country:US
Practice Address - Phone:540-347-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040065701041C0700X
CO9924621041C0700X
WY4781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical