Individual provider · Type 1 NPI
Ellie Renee Henriquez, LCSW
Clinical Social Worker · Fort Walton Beach, FL
Practice location
702 Russell Blvd
Fort Walton Beach, FL 32547-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW25277 (FL) |
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 1730068172
Ellie Renee Henriquez, LCSW's National Provider Identifier is 1730068172, issued on Aug 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 29, 2025.