Individual provider · Type 1 NPI

Lisa Ellen Stonebraker, LCSW

Clinical Social Worker · Crown Point, IN

NPI number 1124790928 Active

Practice location

2100 N Main St Ste 304
Crown Point, IN 46307-1877

Call (574) 546-1900 Map

Mailing address

PO Box 10299
Fort Wayne, IN 46851-0299

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008476A (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 1124790928

Lisa Ellen Stonebraker, LCSW's National Provider Identifier is 1124790928, issued on Sep 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crown Point, IN. The record was last updated on Sep 30, 2021.