Gary S. Heath

Clinical Social Worker · Carbondale, IL

Individual Active NPI

NPI number 1275717126

Practice location

3200 Fishback Rd
Carbondale, IL 62901-6307
Phone
(618) 457-1111

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NPI record

NPI
1275717126
Entity type
Individual (Type 1)
Enumeration date
December 27, 2007
Last updated
December 27, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149007002 IL

Mailing address

3200 Fishback Road
Carbondale, IL 62901
Phone
(618) 457-1111

About Gary Heath

Gary S. Heath is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 3200 Fishback Rd, Carbondale, IL 62901-6307. The NPI number 1275717126 was assigned on December 27, 2007 and the record was last updated on December 27, 2007.

Gary Heath lists a license in the registry: #149007002 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary S. Heath?

The NPI number is 1275717126.

What is the phone number of Gary Heath?

The phone number listed for the practice location is (618) 457-1111.

Where is Gary Heath located?

3200 Fishback Rd, Carbondale, IL 62901-6307.

What is the taxonomy code for Gary Heath?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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