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

Jerry Wayne Heatherly, LISW-S

Individual provider Clinical Social Worker · NPI 1386991255

Jerry Wayne Heatherly, LISW-S is a Clinical Social Worker in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

4750 Wesley Ave Ste J
Cincinnati, OH 45212-2276
Phone: (513) 531-5110
Fax: (513) 531-5668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I 0005389 SUPV (OH)

Record details

NPI number1386991255
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedAugust 10, 2012
Last updated in NPPESAugust 10, 2012

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