Individual provider · Type 1 NPI

Mariam E. Henderson-Rucker, LISW

Clinical Social Worker · Lorain, OH

NPI number 1760015341 Active

Practice location

3600 Kolbe Rd
Lorain, OH 44053-1654

Call (440) 222-4803 Map

Fax (440) 960-4922

Mailing address

3600 Kolbe Rd Ste 11
Lorain, OH 44053-1652

Other practice locations

  • 3700 Kolbe Rd, Lorain, OH 44053-1611 · (440) 222-4003

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1901902 (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 1760015341

Mariam E. Henderson-Rucker, LISW's National Provider Identifier is 1760015341, issued on Feb 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lorain, OH. The record was last updated on Feb 24, 2022.