Individual provider · Type 1 NPI
Lisa Lynne Autry, M. S.W., A.C.S.W.
Clinical Social Worker · Bedford, IN
Practice location
2125 16th Street
Bedford, IN 47421
Mailing address
4001 Rosewood Drive
Bloomington, IN 47404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34003553A (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 1760737274
Lisa Lynne Autry, M. S.W., A.C.S.W.'s National Provider Identifier is 1760737274, issued on Jul 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bedford, IN. The record was last updated on Jul 20, 2012.