Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Shepard, LCSW

Individual provider Clinical Social Worker · NPI 1366828865

Bryan Shepard, LCSW is a Clinical Social Worker in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

520 S Walnut St
Bloomington, IN 47401-4618
Phone: (812) 502-4100
Fax: (812) 502-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34008606A (IN)

Record details

NPI number1366828865
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 6, 2015
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address520 S Walnut St # 3126, Bloomington, IN 47401-4618

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