Individual provider · Type 1 NPI

Brent Clemenz

Clinical Social Worker · Lafayette, IN

NPI number 1710003363 Active

Practice location

670 N 36th St
Lafayette, IN 47905-4474

Mailing address

917 King St
Lafayette, IN 47905-1821

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34005245A (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 1710003363

Brent Clemenz's National Provider Identifier is 1710003363, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Jul 8, 2007.