Individual provider · Type 1 NPI

Ray Jamaal Herndon, LCSW

Clinical Social Worker · Colorado Springs, CO

NPI number 1760611636 Active

Practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 15555
Colorado Springs, CO 80935-5555

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XCSW.09928508 (CO)

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 1760611636

Ray Jamaal Herndon, LCSW's National Provider Identifier is 1760611636, issued on Jul 13, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 28, 2022.