Organization · Type 2 NPI

Center for Lifestyle Change

Clinical Social Worker · Valparaiso, IN

NPI number 1669778866 Active

Practice location

684 Valley Dr
Valparaiso, IN 46383-8912

Fax (219) 465-0784

Mailing address

PO Box 1921
Valparaiso, IN 46384-1921

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34001814A (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 1669778866

Center for Lifestyle Change's National Provider Identifier is 1669778866, issued on Feb 4, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valparaiso, IN. The record was last updated on Feb 4, 2011.