Individual provider · Type 1 NPI

Jill Bulmahn, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1285113092 Active

Practice location

4618 E State Blvd Ste 300
Fort Wayne, IN 46815-6966

Fax (260) 373-0218

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34006292A (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 1285113092

Jill Bulmahn, LCSW's National Provider Identifier is 1285113092, issued on Aug 13, 2018. 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 Aug 13, 2018.