Individual provider · Type 1 NPI

Elise Nicole Headley

Clinical Social Worker · Bloomington, IN

NPI number 1073185708 Active

Practice location

1004 W 1st St
Bloomington, IN 47403-2208

Call (812) 393-5834 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1073185708

Elise Nicole Headley's National Provider Identifier is 1073185708, issued on Jul 13, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Jul 13, 2021.