Individual provider · Type 1 NPI

Miranda Fencl, MSW, LCSW

Clinical Social Worker · Avon, IN

NPI number 1144602673 Active

Practice location

6655 E US Highway 36
Avon, IN 46123-8923

Fax (317) 272-0807

Mailing address

5101 E US Highway 36 Ste 100
Avon, IN 46123-6646

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X34008074A (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 1144602673

Miranda Fencl, MSW, LCSW's National Provider Identifier is 1144602673, issued on Jun 21, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Avon, IN. The record was last updated on Apr 2, 2018.