Individual provider · Type 1 NPI

Jennifer Lynn Phoenix

Clinical Social Worker · Muncie, IN

NPI number 1174692941 Active

Practice location

240 N Tillotson Ave
Muncie, IN 47304-3988

Fax (765) 741-0310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X34004792A (IN)
Professional Counselor 101YP2500X34004792A (IN)
Clinical Social Worker Primary 1041C0700X34004792A (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 1174692941

Jennifer Lynn Phoenix's National Provider Identifier is 1174692941, issued on Nov 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Muncie, IN. The record was last updated on Nov 25, 2015.