Individual provider · Type 1 NPI
Gary Scott Ralya, LCSW
Clinical Social Worker · Fort Wayne, IN
Practice location
2121 E State Blvd
Fort Wayne, IN 46805-4640
Mailing address
5646 Lake Ave
Fort Wayne, IN 46815-7564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34002338A (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 1023636909
Gary Scott Ralya, LCSW's National Provider Identifier is 1023636909, issued on Jul 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2020.