Provider Demographics
NPI:1962803924
Name:ABERG, HEATHER NING (LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:NING
Last Name:ABERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5127 S GREENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7444
Mailing Address - Country:US
Mailing Address - Phone:720-480-6672
Mailing Address - Fax:
Practice Address - Street 1:3082 EVERGREEN PKWY
Practice Address - Street 2:STE G
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7968
Practice Address - Country:US
Practice Address - Phone:720-480-6672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099234901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical