Individual provider · Type 1 NPI
Edward Bruce Henderson, PhD, LCSW
Clinical Social Worker · Chicago, IL
Practice location
939 W Sunnyside Ave, #1W
Chicago, IL 60640-6967
Fax (773) 978-3005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1326237447
Edward Bruce Henderson, PhD, LCSW's National Provider Identifier is 1326237447, issued on Oct 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 15, 2007.