Individual provider · Type 1 NPI

Phyllis C. Heenan, LCSW

Clinical Social Worker · Aptos, CA

NPI number 1225167398 Active

Practice location

47 Knollwood Dr
Aptos, CA 95003-3401

Fax (831) 661-5197

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW9057 (CA)

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 1225167398

Phyllis C. Heenan, LCSW's National Provider Identifier is 1225167398, issued on Mar 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Aptos, CA. The record was last updated on Jun 15, 2021.