Organization · Type 2 NPI

Tracey Malesa-Wheaton, Lcsw, LLC

Clinical Social Worker · South Bend, IN

NPI number 1912696451 Active

Practice location

429 W Lasalle Ave Apt 2
South Bend, IN 46601-1166

Fax (574) 367-2154

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone 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 1912696451

Tracey Malesa-Wheaton, Lcsw, LLC's National Provider Identifier is 1912696451, issued on May 2, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Mar 12, 2024.