Jennifer Heiner | Ammon, ID • PECOS Search

Jennifer Heiner

Social Worker

Behavioral Health & Social Service Providers

5036 Chimney Rock Dr, Ammon, ID 83406-8188

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Heiner does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932535853
Provider Type
Individual
Full Name
Heiner, Jennifer
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/24/2013
Last Updated
7/26/2024

Contact Information

Practice Location

5036 Chimney Rock Dr, Ammon, ID 83406-8188

Unlisted Fax

Mailing Location

5036 Chimney Rock Dr, Ammon, ID 83406-8188

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LMSW-32971 Idaho