Individual provider · Type 1 NPI

Berthold E. Stover, LCSW

Clinical Social Worker · Lafayette, IN

NPI number 1225469877 Active

Practice location

1716 Hartford St.
Lafayette, IN 47904-2138

Fax (765) 429-2700

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007054A (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 1225469877

Berthold E. Stover, LCSW's National Provider Identifier is 1225469877, issued on Dec 9, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Feb 9, 2017.