Individual provider · Type 1 NPI

Judy M. Sandy, LCSW ACSW LCAC

Clinical Social Worker · Lafayette, IN

NPI number 1104966563 Active

Practice location

133 N 4th St Ste 407
Lafayette, IN 47901-1308

Fax (765) 746-3664

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34000471A (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 1104966563

Judy M. Sandy, LCSW ACSW LCAC's National Provider Identifier is 1104966563, issued on Feb 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Aug 2, 2021.