Individual provider · NPI-1

Heidi Sue Bishop, LISW

Social Worker, Clinical · Eden Prairie, MN

NPI number1316450513
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1316450513
Entity type
Individual (NPI-1)
Name
Mrs. Heidi Sue Bishop
Credential
LISW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2017
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.1600895OHYes

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Phone 952-746-2522

Mailing address

1479 Collins Ave
Marysville, OH 43040-8808

Phone 937-642-1065

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