Individual provider · Type 1 NPI

Victoria M. Sprague, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1083620272 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-5431 Map

Fax (260) 460-1842

Mailing address

1333 Maple Ave
Fort Wayne, IN 46807-1015

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003287A (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 1083620272

Victoria M. Sprague, LCSW's National Provider Identifier is 1083620272, issued on Jul 31, 2006. 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, 2007.