Individual
MR. JAMES L. HEAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1025 MAIN STREET, WHEELING, WV 26003
(304) 639-8140
(304) 232-0120
Mailing address
1025 MAIN ST, SUITE 315, WHEELING, WV 26003-2726
(304) 639-8140
(304) 232-0120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00938721
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005456001
—
WV
01
—
001718897
MSBCBS ID NUMBER
WV
01
—
2114778
CIGNA ID NUMBER
WV
01
—
484433000
MAGELLAN MIS NUMBER
WV
01
—
Y938721
HEALTH PLAN ID NUMBER
WV
Enumeration date
12/06/2006
Last updated
01/09/2017
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