Individual provider · Type 1 NPI
Christopher K. Countryman, LCSW
Clinical Social Worker · Indianapolis, IN
Practice location
5886 Central Ave.
Indianapolis, IN 46220
Mailing address
4342 N. Park Ave.
Indianapolis, IN 46205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34004533A (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 1417174236
Christopher K. Countryman, LCSW's National Provider Identifier is 1417174236, issued on Apr 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.