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Search › Massachusetts › 1041C0700X

Heather Mandeville, LICSW

NPI 1487165072 · on the registry since 2017

Practice

Address
135 Gold Star Blvd
Worcester, MA 01606
Phone
(508) 459-6400
Fax
(508) 849-5618
Organisation at this address
Reliant Medical Group, Inc
Reliant Medical Group, Inc
Reliant Medical Group, Inc
Reliant Medical Group, Inc.
Youth Opportunities Upheld, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
164

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
101YM0800X
101YM0800X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts