Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Heather Grant Petanovitch, LCSW

Individual provider Mental Health Counselor · NPI 1174698237

Mrs. Heather Grant Petanovitch, LCSW is a Mental Health Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3161 Hawthron St
San Diego, CA 92104-2360
Phone: (858) 752-3025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27095 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 20517 (CA)

Record details

NPI number1174698237
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESNovember 13, 2013

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