Individual provider · Type 1 NPI

Bethany S. Kellogg, MSW, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1295245835 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Call (574) 936-9646 Map

Fax (574) 936-9646

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Social Worker 104100000XNone listed

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 1295245835

Bethany S. Kellogg, MSW, LCSW's National Provider Identifier is 1295245835, issued on Oct 10, 2017. 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 Feb 25, 2021.