Provider Demographics
NPI:1932384823
Name:HEIMERDINGER, LINDA REYMAN (LICSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:REYMAN
Last Name:HEIMERDINGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:SPOFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03462-4631
Mailing Address - Country:US
Mailing Address - Phone:603-363-4558
Mailing Address - Fax:
Practice Address - Street 1:131 FAIRGROUND RD
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6328
Practice Address - Country:US
Practice Address - Phone:802-451-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00012131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical