Individual provider · Type 1 NPI

Heather Marie Brock, LCSW-A

Clinical Social Worker · Fayetteville, NC

NPI number 1659255065 Active

Practice location

5619 Ramsey St
Fayetteville, NC 28311-1423

Mailing address

322 Dublin Cir
Floresville, TX 78114-6534

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022703 (NC)

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 1659255065

Heather Marie Brock, LCSW-A's National Provider Identifier is 1659255065, issued on Jul 31, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 31, 2025.