Individual provider · Type 1 NPI

Patrick Medland, LCSW, LMHC, LMFT

Clinical Social Worker · Bloomington, IN

NPI number 1922075209 Active

Practice location

655 S Clarizz Blvd
Bloomington, IN 47401-5523

Fax (812) 355-5895

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X39000428A (IN)
Clinical Social Worker Primary 1041C0700X34002601A (IN)
Marriage & Family Therapist 106H00000X35000705A (IN)
Counselor 101Y00000X34002601A (IN)
Addiction (Substance Use Disorder) Counselor 101YA0400X34002601A (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 1922075209

Patrick Medland, LCSW, LMHC, LMFT's National Provider Identifier is 1922075209, issued on Mar 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Apr 29, 2009.