Individual provider · Type 1 NPI

Carissa Sandoval, LCSW

Clinical Social Worker · Jasper, IN

NPI number 1417625542 Active

Practice location

480 Eversman Dr
Jasper, IN 47546-3548

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34009167A (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 1417625542

Carissa Sandoval, LCSW's National Provider Identifier is 1417625542, issued on Sep 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jasper, IN. The record was last updated on Sep 2, 2021.