Individual provider · Type 1 NPI

Phillip A. Wilburn, LCSW

Clinical Social Worker · Crown Point, IN

NPI number 1720005440 Active

Practice location

5241 Fountain Dr, Suite G
Crown Point, IN 46307-5323

Fax (219) 736-2998

Mailing address

3938 W 78th Ct, # 31
Merrillville, IN 46410-8705

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34001917A (IN)
Clinical Social Worker 1041C0700X149-001105 (IL)

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 1720005440

Phillip A. Wilburn, LCSW's National Provider Identifier is 1720005440, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crown Point, IN. The record was last updated on Dec 10, 2011.