Individual provider · Type 1 NPI
Bridgette Leora Spann Edwards, LCSW, LCAC
Clinical Social Worker · East Chicago, IN
Practice location
4818 Indianapolis Blvd
East Chicago, IN 46312-3433
Fax (219) 397-4737
Mailing address
4830 Mccook Ave
East Chicago, IN 46312-3552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87000232A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 34008190A (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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- Juanita C. Matlock, LCSWClinical Social Worker East Chicago, IN NPI 1144805151
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About NPI 1174667745
Bridgette Leora Spann Edwards, LCSW, LCAC's National Provider Identifier is 1174667745, issued on Feb 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Chicago, IN. The record was last updated on Nov 2, 2018.