Individual provider · Type 1 NPI

Elise D. Daxe

Clinical Social Worker · Portage, IN

NPI number 1194009035 Active

Practice location

3176 Lancer St
Portage, IN 46368-4408

Call (219) 762-9557 Map

Mailing address

601 Wall St
Valparaiso, IN 46383-2512

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006342A (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 1194009035

Elise D. Daxe's National Provider Identifier is 1194009035, issued on Oct 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, IN. The record was last updated on Oct 10, 2011.