Individual provider · Type 1 NPI
Mary A. Larocque, MSW LCSW
Clinical Social Worker · Fort Wayne, IN
Practice location
7806 W Jefferson Blvd Ste C
Fort Wayne, IN 46804-4180
Fax (260) 203-5136
Mailing address
7311A W Jefferson Blvd
Fort Wayne, IN 46804-6237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34001252A (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 1851309876
Mary A. Larocque, MSW LCSW's National Provider Identifier is 1851309876, issued on Aug 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 19, 2022.