Individual
HEATHER PEDERSEN
Active
Individual
HEATHER PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00370800
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06143800
NJ
1041C0700X
Clinical Social Worker
CW024272
PA
Other
Enumeration date
05/25/2021
Last updated
08/24/2026
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