Individual provider · Type 1 NPI

Brenda L. Chupp, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1932175197 Active

Practice location

403 E Madison St
South Bend, IN 46617-2322

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003533 (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 1932175197

Brenda L. Chupp, LCSW's National Provider Identifier is 1932175197, issued on Feb 27, 2006. 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 Oct 15, 2010.