Individual
MS. MEGAN MARIE HEITZMAN
Active
Individual
MS. MEGAN MARIE HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
06081
IA
1041C0700X
Clinical Social Worker
Primary
06081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600593449
MAGELLAN BEHAVIORAL HEALTH
IA
01
—
79141
BLUE CROSS BLUE SHIELD
IA
Enumeration date
12/20/2006
Last updated
02/13/2014
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