Individual provider · Type 1 NPI

Bryan Shepard, LCSW

Clinical Social Worker · Bloomington, IN

NPI number 1366828865 Active

Practice location

520 S Walnut St
Bloomington, IN 47401-4618

Fax (812) 502-4200

Mailing address

520 S Walnut St # 3126
Bloomington, IN 47401-4618

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008606A (IN)

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 1366828865

Bryan Shepard, LCSW's National Provider Identifier is 1366828865, issued on Aug 6, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Nov 23, 2021.