Individual provider · Type 1 NPI

Alyce Danielle Branham, LSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1235759556 Active

Practice location

1234 E Dupont Rd Ste 1
Fort Wayne, IN 46825-1545

Call (260) 425-6390 Map

Fax (260) 425-6395

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008853A (IN)
Social Worker 104100000X33008603A (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 1235759556

Alyce Danielle Branham, LSW's National Provider Identifier is 1235759556, issued on Apr 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 12, 2023.