Individual provider · Type 1 NPI

Justin Michael Heilenbach, LCSW

Clinical Social Worker · Williston, VT

NPI number 1972789345 Active

Practice location

25 Wentworth Dr
Williston, VT 05495-9733

Call (802) 878-4990 Map

Fax (802) 878-1477

Mailing address

711 NE Randall Ave, Apt 303
Portland, OR 97232-2384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0074343 (VT)
Clinical Social Worker 1041C0700X4064 (OR)

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 1972789345

Justin Michael Heilenbach, LCSW's National Provider Identifier is 1972789345, issued on Jan 16, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Williston, VT. The record was last updated on Jan 20, 2011.