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JERRY WAYNE HEATHERLY LISW-S
NPI 1386991255
Social Worker - Clinical in Cincinnati, OH

Active since August 10, 2012
4750 WESLEY AVE STE J, CINCINNATI, OH 45212(513) 531-5110(513) 531-5668 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Wayne Heatherly Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY WAYNE HEATHERLY LISW-S (NPI 1386991255) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (I 0005389 SUPV) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1386991255
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERRY WAYNE HEATHERLYCredential: LISW-S
Location Address4750 WESLEY AVE STE JCincinnati, OH 45212-2276
Mailing Address4750 Wesley Ave Ste JCincinnati, OH 45212-2276 · (513) 531-5110 · Fax (513) 531-5668
Phone(513) 531-5110
Fax(513) 531-5668
Sole ProprietorYes
Enumeration DateAugust 10, 2012
✔ NPI 1386991255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I 0005389 SUPV
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4750 WESLEY AVE STE J, Cincinnati, OH 45212
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA ANN MINDRUM RN
Registered Nurse
4750 WESLEY AVE STE J
NORWOOD, OH 45212
Hamilton County (513) 531-5110
MEGAN AILEEN ANELLO M.S.,R.D.,L.D.,
Dietitian, Registered
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 531-5110
MARY LYNNE ROHS OT
Occupational Therapist (Physical Rehabilitation)
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 458-8833
MRS. SARAH E MEYER CTRS
Recreation Therapist
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 531-5110
HEATHER HUBBARD OTR/L
Occupational Therapist (Physical Rehabilitation)
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 458-8832
ELIZABETH B BISHOP RD LD
Dietitian, Registered
4750 WESLEY AVE STE J
NORWOOD, OH 45212
Hamilton County (513) 458-8859
PATRICIA WOELLERT LISW-S
Social Worker (Clinical)
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 531-5110
SARA WILKIRSON MT-BC
Music Therapist
4750 WESLEY AVE STE J
CINCINNATI, OH 45212
Hamilton County (513) 531-5110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Heatherly's NPI number?

The NPI number for Jerry Heatherly is 1386991255. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Jerry Heatherly located?

Jerry Heatherly practices at 4750 Wesley Ave Ste J, Cincinnati, OH 45212. The listed phone number is (513) 531-5110.

What is Jerry Heatherly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jerry Heatherly was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.