Individual provider · Type 1 NPI

Nicole Marie Gaunt, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1326683228 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008302A (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.