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MR. KERRY MINNIS LCSW LMFT LCAC NPI 1487786935


NPI Information

NPI: 1487786935
Provider Name: MR. KERRY MINNIS, LCSW, LMFT, LCAC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
610 E SOUTHPORT RD
SUITE 100
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 783-8477
Get Directions

MR. Kerry Minnis, LCSW, LMFT, LCAC is a clinical social worker in Indianapolis, IN. The provider is 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. MR. Kerry Minnis, LCSW, LMFT, LCAC NPI is 1487786935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 E SOUTHPORT RD
SUITE 100
INDIANAPOLIS, IN
ZIP 46227-581
Phone: (317) 783-8477

The enumeration date for this NPI number is 3/11/2007 and was last updated on 8/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist35000242AINDIANANo
2101YA0400XCounselorAddiction (Substance Use Disorder)87000437AINDIANANo
31041C0700XSocial WorkerClinical34000534AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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