Provider Demographics
NPI:1679281703
Name:HEIL, ALEXANDER HUGH (MSW, LICSW)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:HUGH
Last Name:HEIL
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 EAST CENTRAL ENTRANCE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-5596
Mailing Address - Country:US
Mailing Address - Phone:218-723-8153
Mailing Address - Fax:218-722-7625
Practice Address - Street 1:715 EAST CENTRAL ENTRANCE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5596
Practice Address - Country:US
Practice Address - Phone:218-723-8153
Practice Address - Fax:218-722-7625
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN290401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical