Individual provider · Type 1 NPI

Tami Ann Gentil, MSW, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1053721753 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Fax (260) 481-2709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006679A (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 1053721753

Tami Ann Gentil, MSW, LCSW's National Provider Identifier is 1053721753, issued on May 2, 2014. 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 May 2, 2014.