Individual provider · Type 1 NPI

Kelly M. Heironimus, LMSW

Clinical Social Worker · Sikeston, MO

NPI number 1003155243 Active

Practice location

760 Plantation Blvd
Sikeston, MO 63801-5736

Call (573) 471-0800 Map

Fax (573) 471-0810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2012035820 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003155243

Kelly M. Heironimus, LMSW's National Provider Identifier is 1003155243, issued on Feb 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sikeston, MO. The record was last updated on Feb 7, 2013.