Individual provider · Type 1 NPI

Kerry Minnis, LCSW, LMFT, LCAC

Clinical Social Worker · Indianapolis, IN

NPI number 1487786935 Active

Practice location

610 E Southport Rd, Suite 100
Indianapolis, IN 46227-8581

Mailing address

10155 E Thompson Rd
Indianapolis, IN 46239-9350

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34000534A (IN)
Marriage & Family Therapist 106H00000X35000242A (IN)
Addiction (Substance Use Disorder) Counselor 101YA0400X87000437A (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 1487786935

Kerry Minnis, LCSW, LMFT, LCAC's National Provider Identifier is 1487786935, issued on Mar 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 19, 2013.