Individual provider · Type 1 NPI

Mimi Elizabeth Gardner

Clinical Social Worker · Valparaiso, IN

NPI number 1285060970 Active

Practice location

2401 Valley Dr
Valparaiso, IN 46383-2520

Call (219) 413-5100 Map

Mailing address

7838 W Frankfort Square Rd
Frankfort, IL 60423-9139

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149005389 (IL)
Clinical Social Worker Primary 1041C0700X34003903A (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 1285060970

Mimi Elizabeth Gardner's National Provider Identifier is 1285060970, issued on Sep 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valparaiso, IN. The record was last updated on May 17, 2021.