Individual provider · Type 1 NPI

Elliot A. Fisch, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1700949492 Active

Practice location

108 N Main St
South Bend, IN 46601-1625

Mailing address

51558 Teasdale Ct
South Bend, IN 46637-1360

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34001951A (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 1700949492

Elliot A. Fisch, LCSW's National Provider Identifier is 1700949492, issued on Dec 18, 2006. 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 Jul 8, 2007.