Individual provider · Type 1 NPI

Myra Anita Henderson, LISW-SUPV

Clinical Social Worker · Wickliffe, OH

NPI number 1962740035 Active

Practice location

29343 Euclid Ave
Wickliffe, OH 44092-1958

Mailing address

3707 Belmont Rd
Woodmere, OH 44122-4509

Other practice locations

  • 966 E 146th St, Cleveland, OH 44110-3729 · (216) 851-1853

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI0007669 SUPV (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 1962740035

Myra Anita Henderson, LISW-SUPV's National Provider Identifier is 1962740035, issued on Jan 24, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wickliffe, OH. The record was last updated on Mar 17, 2018.