Individual provider · Type 1 NPI

Robert J. Heidl, LISW

Clinical Social Worker · Berea, OH

NPI number 1487147005 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.1201104 (OH)
Clinical Social Worker Primary 1041C0700XI2002030 (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 1487147005

Robert J. Heidl, LISW's National Provider Identifier is 1487147005, issued on Jun 8, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berea, OH. The record was last updated on Feb 24, 2020.