Individual provider · Type 1 NPI

Keith Wygle, LCSW

Clinical Social Worker · Hammond, IN

NPI number 1528296993 Active

Practice location

5900 Hohman Ave
Hammond, IN 46320-2423

Fax (219) 931-0427

Mailing address

8400 Louisiana St
Merrillville, IN 46410-6385

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34005872A (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 1528296993

Keith Wygle, LCSW's National Provider Identifier is 1528296993, issued on Jun 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hammond, IN. The record was last updated on May 25, 2011.