Organization · Type 2 NPI

Gentle Beacon, LLC

Clinical Social Worker · West Lafayette, IN

NPI number 1871069344 Active

Practice location

101 Foundry Dr Ste 1200
West Lafayette, IN 47906-3446

Fax (765) 637-7402

Other practice locations

  • 3218 Daugherty Dr Ste 150, Lafayette, IN 47909-3997 · (765) 299-6807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1871069344

Gentle Beacon, LLC's National Provider Identifier is 1871069344, issued on Oct 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Lafayette, IN. The record was last updated on Jun 2, 2023.