Individual provider · Type 1 NPI

Callista Ann Gordon

Clinical Social Worker · South Bend, IN

NPI number 1508533555 Active

Practice location

1001 N Hickory Rd
South Bend, IN 46615-3702

Mailing address

503 Downey Ave
Mishawaka, IN 46544-3455

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

4 other providers at this address

Other clinical social worker providers in South Bend

See all in South Bend →

About NPI 1508533555

Callista Ann Gordon's National Provider Identifier is 1508533555, issued on Aug 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Aug 26, 2021.