Individual provider · Type 1 NPI

Jerry Wayne Heatherly, LISW-S

Clinical Social Worker · Cincinnati, OH

NPI number 1386991255 Active

Practice location

4750 Wesley Ave Ste J
Cincinnati, OH 45212-2276

Call (513) 531-5110 Map

Fax (513) 531-5668

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 0005389 SUPV (OH)

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 1386991255

Jerry Wayne Heatherly, LISW-S's National Provider Identifier is 1386991255, issued on Aug 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cincinnati, OH. The record was last updated on Aug 10, 2012.