Individual provider · Type 1 NPI

Jennifer Mysogland, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1275808917 Active

Practice location

6330 E 75th St, Suite 300
Indianapolis, IN 46250-2777

Call (317) 577-5948 Map

Fax (317) 577-5954

Mailing address

1956 Summersweet Ln
Carmel, IN 46033-9247

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34005721A (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 1275808917

Jennifer Mysogland, LCSW's National Provider Identifier is 1275808917, issued on Mar 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 13, 2012.