Individual provider · Type 1 NPI

William Edward Short

Clinical Social Worker · Michigan City, IN

NPI number 1154915072 Active

Practice location

710 Franklin St Ste 200
Michigan City, IN 46360-3564

Mailing address

2401 Valley Dr
Valparaiso, IN 46383-2520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1154915072

William Edward Short's National Provider Identifier is 1154915072, issued on Feb 22, 2021. 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 Feb 22, 2021.