Individual provider · Type 1 NPI

Faye Peterson-Pottinger, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1013965581 Active

Practice location

403 E Madison St
South Bend, IN 46617-2322

Call (574) 283-1107 Map

Fax (574) 283-1131

Mailing address

107 Gra Roy Dr
Goshen, IN 46526-4706

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003518 (IN)

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 1013965581

Faye Peterson-Pottinger, LCSW's National Provider Identifier is 1013965581, issued on May 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Jul 13, 2026.