Jerrilyn S Herd, LMFT,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002638A Issued in IN

Practice address

1025 Michigan Ave.
Suite 115
Logansport, IN 46947-0000

Phone

(574) 722-3566

Fax

(574) 753-6118

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356436075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE.",
            "address_2": "SUITE 115",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469470000",
            "telephone_number": "574-722-3566",
            "fax_number": "574-753-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE.",
            "address_2": "SUITE 115",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469470000",
            "telephone_number": "574-722-3566",
            "fax_number": "574-753-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "JERRILYN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LMFT,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Hedden, BA
• Rachael Hendricks, MS
• Carolgene Marie Henisa, MS
• Donna Henry, RN
• Patricia A. Henry, RN
• John Alex Herd, OTR
• Donna Beck Hermance, PT
• Nicole Hiatt, MSW, LCSW
• Casey Hill, NP
• Paul David Hillis, DDS

• Clinical Social Worker in Logansport, IN
• Providers in Logansport, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.