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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. HEATHER GRANT PETANOVITCH, LCSW

Active Sole Proprietor

MRS. HEATHER GRANT PETANOVITCH, LCSW is a Clinical Social Worker healthcare provider located in SAN DIEGO, California. NPI 1174698237 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN DIEGO, CA

Registration Details

NPI Number
1174698237
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2006 (19.5806169168 yrs)
Last Updated
Nov 13, 2013
Licenses
20517 (CA)
27095 (CA)
Sole Proprietor
Yes

Practice Information

Address
3161 HAWTHRON STREET
SAN DIEGO, CA, 921042360
Browse CA providers · Browse ZIP 92104
Phone
8587523025
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SAN DIEGO, CA

Name Credential NPI
MR. MICHAEL HAMMER MSW 1861491292
DEBRA BLAY HOLMES LCSW 1932192531
MS. RHONDA MASON LCSW 1366436503
LISA GRAFF-MARSH LCSW 1588659080
JERYL KALINOWSKI LCSW 1811982697
KAREN LOUISE RITTER LCSW 1790775781
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.