Organization · Type 2 NPI

Blue Heron Therapy LLC

Clinical Social Worker · Wichita, KS

NPI number 1407770324 Active

Practice location

200 N Broadway Ave Ste 235
Wichita, KS 67202-2300

Call (316) 247-4737 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1407770324

Blue Heron Therapy LLC's National Provider Identifier is 1407770324, issued on Aug 5, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Aug 5, 2026.