Organization · Type 2 NPI
Sullivan Counseling
Clinical Social Worker · Fort Wayne, IN
Practice location
10311 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1913
Fax (260) 451-2501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34001106A (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 1487903159
Sullivan Counseling's National Provider Identifier is 1487903159, issued on Sep 10, 2012. 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 Mar 13, 2015.