Individual provider · Type 1 NPI

Carmen Bonita McCoy, LCSW

Clinical Social Worker · Michigan City, IN

NPI number 1104009000 Active

Practice location

710 Franklin St
Michigan City, IN 46360-3563

Fax (219) 879-2915

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	LSW0000004647 (TN)
Clinical Social Worker Primary	1041C0700X	34003386A (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 1104009000

Carmen Bonita McCoy, LCSW's National Provider Identifier is 1104009000, issued on Dec 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Michigan City, IN. The record was last updated on Oct 30, 2020.