Individual provider · Type 1 NPI

Mary Jo Larose, LCSW

Clinical Social Worker · Michigan City, IN

NPI number 1275952012 Active

Practice location

710 Franklin St Ste 200
Michigan City, IN 46360-3564

Call (219) 872-6200 Map

Fax (219) 879-2915

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2017004755 (MO)
Clinical Social Worker Primary 1041C0700X34006321A (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 1275952012

Mary Jo Larose, LCSW's National Provider Identifier is 1275952012, issued on Apr 9, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Michigan City, IN. The record was last updated on Mar 11, 2026.