Individual provider · Type 1 NPI
Nicole Marie Gaunt, LCSW
Clinical Social Worker · Fort Wayne, IN
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Fax (260) 373-8034
Mailing address
3702 New Vision Dr Bldg B
Fort Wayne, IN 46845-1703
Other practice locations
- 3010 E State Blvd, Fort Wayne, IN 46805-4700 · (260) 471-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34008302A (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 1326683228
Nicole Marie Gaunt, LCSW's National Provider Identifier is 1326683228, issued on Nov 14, 2019. 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 Jan 16, 2020.