Individual provider · Type 1 NPI

Jillian Gonterman, LCSW

Clinical Social Worker · Bloomington, IN

NPI number 1306344007 Active

Practice location

804 N College Ave
Bloomington, IN 47404-3526

Mailing address

2909 S Sare Rd
Bloomington, IN 47401-4331

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007566A (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 1306344007

Jillian Gonterman, LCSW's National Provider Identifier is 1306344007, issued on Jan 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Jan 28, 2018.