Organization · Type 2 NPI

Cross Connections of Tippecanoe County Inc

Clinical Social Worker · Lafayette, IN

NPI number 1003790205 Active

Practice location

839 Main St Ste 500
Lafayette, IN 47901-2830

Fax (765) 374-2752

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003790205

Cross Connections of Tippecanoe County Inc's National Provider Identifier is 1003790205, issued on Aug 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Apr 30, 2026.