Individual provider · Type 1 NPI

Susan Wahlstrom, LCSW

Clinical Social Worker · Evansville, IN

NPI number 1407433733 Active

Practice location

4001 John St
Evansville, IN 47714-0216

Call (812) 473-3144 Map

Fax (812) 436-4306

Mailing address

415 Mulberry St
Evansville, IN 47713-1230

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	34002263A (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 1407433733

Susan Wahlstrom, LCSW's National Provider Identifier is 1407433733, issued on Mar 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evansville, IN. The record was last updated on Mar 24, 2021.