Provider Demographics
NPI:1639631914
Name:HEATH, ARIN LEE (LCSW, MSW)
Entity type:Individual
Prefix:
First Name:ARIN
Middle Name:LEE
Last Name:HEATH
Suffix:
Gender:M
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 WESTHEIMER DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9253
Mailing Address - Country:US
Mailing Address - Phone:336-528-3601
Mailing Address - Fax:
Practice Address - Street 1:4170 CLEMMONS RD STE 135
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7520
Practice Address - Country:US
Practice Address - Phone:336-528-4603
Practice Address - Fax:336-604-0036
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0143721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical