Individual provider · Type 1 NPI

Mathew Peters, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1245840040 Active

Practice location

415 E Madison St
South Bend, IN 46617-2322

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

330 Lakeview Dr
Goshen, IN 46528-7000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008869A (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 1245840040

Mathew Peters, LCSW's National Provider Identifier is 1245840040, issued on Aug 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Aug 6, 2020.