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ELLIE RENEE HENRIQUEZ LCSW
NPI 1730068172
Social Worker - Clinical in Fort Walton Beach, FL

Active since August 29, 2025
702 RUSSELL BLVD, FORT WALTON BEACH, FL 32547(850) 261-5374 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellie Renee Henriquez Lcsw NPPES

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

ELLIE RENEE HENRIQUEZ LCSW (NPI 1730068172) is an individual clinical provider in Fort Walton Beach, Florida, licensed in Florida (SW25277) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1730068172
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLIE RENEE HENRIQUEZCredential: LCSW
Location Address702 RUSSELL BLVDFort Walton Beach, FL 32547-3131
Mailing Address702 Russell BlvdFort Walton Beach, FL 32547-3131
Phone(850) 261-5374
Sole ProprietorNo
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1730068172 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 FL · SW25277
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.
702 RUSSELL BLVD, Fort Walton Beach, FL 32547
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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 Ellie Henriquez's NPI number?

The NPI number for Ellie Henriquez is 1730068172. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Ellie Henriquez located?

Ellie Henriquez practices at 702 Russell Blvd, Fort Walton Beach, FL 32547. The listed phone number is (850) 261-5374.

What is Ellie Henriquez'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 Ellie Henriquez was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.