Individual provider · Type 1 NPI

Jean Rosengarten Davidson, LCSW, LMFT

Clinical Social Worker · South Bend, IN

NPI number 1528049715 Active

Practice location

616 E Colfax Ave
South Bend, IN 46617-2827

Fax (574) 289-7000

Mailing address

616 E. Colfax Avenue
South Bend, IN 46617

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34000496A (IN)
Marriage & Family Therapist 106H00000X35000827A (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 1528049715

Jean Rosengarten Davidson, LCSW, LMFT's National Provider Identifier is 1528049715, issued on Nov 7, 2005. 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 Feb 15, 2013.