Individual provider · Type 1 NPI

Jessica Marie Purvis, MSW, LCSW

Clinical Social Worker · Lebanon, IN

NPI number 1194020537 Active

Practice location

940 Lasley Dr
Lebanon, IN 46052-1480

Fax (765) 482-7462

Mailing address

3117 Radford Dr
Indianapolis, IN 46226-6227

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006957A (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 1194020537

Jessica Marie Purvis, MSW, LCSW's National Provider Identifier is 1194020537, issued on Jan 16, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lebanon, IN. The record was last updated on Apr 24, 2014.