Individual provider · Type 1 NPI

Perry Minner Jr., LCSW

Clinical Social Worker · Mishawaka, IN

NPI number 1295123693 Active

Practice location

3930 Edison Lakes Pkwy
Mishawaka, IN 46545-3474

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 430 E Lasalle Ave, South Bend, IN 46617-2724 · (574) 299-8595

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87000014A (IN)
Clinical Social Worker Primary 1041C0700X34005929A (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 1295123693

Perry Minner Jr., LCSW's National Provider Identifier is 1295123693, issued on Jan 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mishawaka, IN. The record was last updated on Aug 26, 2025.