Individual provider · Type 1 NPI

Kim Maxwell Fish, LCSW, LMHC

Clinical Social Worker · Fort Wayne, IN

NPI number 1093869133 Active

Practice location

3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721

Call (260) 407-7285 Map

Mailing address

4903 Coventry Pkwy
Fort Wayne, IN 46804-7133

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XI 0800371 (OH)
Mental Health Counselor 101YM0800X39000977A (IN)
Clinical Social Worker Primary 1041C0700X34004143A (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 1093869133

Kim Maxwell Fish, LCSW, LMHC's National Provider Identifier is 1093869133, issued on Jan 23, 2007. 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 Feb 25, 2011.