Individual
MRS. HEIDI M SIMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5215 N BEND DR, FORT WAYNE, IN 46804-1651
(260) 432-5181
(260) 432-5692
Mailing address
5215 N BEND DR, FORT WAYNE, IN 46804-1651
(260) 432-5181
(260) 432-5692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004601A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202537
ANTHEM BCBS
IN
01
—
049912P
SIHO
IN
01
—
12368
PHP
IN
Enumeration date
05/28/2005
Last updated
07/08/2007
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