Individual provider · Type 1 NPI
Isabela Kae Petitgout, MSW
Clinical Social Worker · Notre Dame, IN
Practice location
149 Le Mans Hall
Notre Dame, IN 46556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
About NPI 1114802576
Isabela Kae Petitgout, MSW's National Provider Identifier is 1114802576, issued on Aug 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Notre Dame, IN. The record was last updated on Aug 8, 2025.