Individual provider · Type 1 NPI

Crystal Havins

Clinical Social Worker · Fort Wayne, IN

NPI number 1396106068 Active

Practice location

2423 Fairfield Ave
Fort Wayne, IN 46807-1210

Fax (260) 745-0734

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X33007471A (IN)
Clinical Social Worker Primary 1041C0700X34009649A (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 1396106068

Crystal Havins's National Provider Identifier is 1396106068, issued on Mar 9, 2016. 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 Apr 13, 2022.