Individual
MS. MELANIE L HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
217 W ROSSER AVE, BISMARCK, ND 58501-3755
(701) 255-6909
(701) 255-3922
Mailing address
217 W ROSSER AVE, BISMARCK, ND 58501-3755
(701) 255-6909
(701) 255-3922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
852
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023892
BCBS OF ND
—
05
—
19157
—
ND
01
—
6192001
GROUP BCBS ND
—
Enumeration date
05/09/2007
Last updated
08/15/2023
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