Individual provider · Type 1 NPI

Stephen William Henneka, L.C.S.W.

Clinical Social Worker · St. Augustine, FL

NPI number 1104916428 Active

Practice location

1100 S Ponce De Leon Blvd Ste 1
St. Augustine, FL 32084-6013

Fax (904) 829-9768

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	SW0002939 (FL)
Clinical Social Worker Primary	1041C0700X	SW0002939 (FL)

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 1104916428

Stephen William Henneka, L.C.S.W.'s National Provider Identifier is 1104916428, issued on Oct 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 14, 2015.