Dr Heather Leigh Destefano, LCSW is a
Counselor - Mental Health based in Riviera Beach, Florida. Dr Heather Leigh Destefano is licensed to practice in Florida (license number SW11201) and her current practice location is
2001 W Blue Heron Blvd, Riviera Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 841-3500.
NPI number for Dr Heather Leigh Destefano is 1720389521 and her current mailing address is 2001 W Blue Heron Blvd, Riviera Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720389521.
Healthcare Provider's Profile
| Full Name | Dr Heather Leigh Destefano |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 2001 W Blue Heron Blvd, Riviera Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720389521
- Provider Enumeration Date: 11/10/2010
- Last Update Date: 02/24/2022
Medical Identifiers
Medical identifiers for Dr Heather Leigh Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720389521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SW11201 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW11201 (Florida) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Heather Leigh Destefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Heather Leigh Destefano, LCSW
2001 W Blue Heron Blvd,
Riviera Beach, FL 33404-5003
Ph: (561) 841-3500 | Dr Heather Leigh Destefano, LCSW
2001 W Blue Heron Blvd,
Riviera Beach, FL 33404-5003
Ph: (561) 841-3500 |
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