Individual provider · Type 1 NPI

Patrice Ivory-Butler, LLMSW

Clinical Social Worker · South Bend, IN

NPI number 1326414707 Active

Practice location

1615 N Kenmore St
South Bend, IN 46628-4256

Mailing address

PO Box 4256
South Bend, IN 46634-4256

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801098518 (MI)

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 1326414707

Patrice Ivory-Butler, LLMSW's National Provider Identifier is 1326414707, issued on Aug 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Aug 19, 2015.