Organization · Type 2 NPI

Consulting & Counseling Associates, LLC

Clinical Social Worker · Fort Wayne, IN

NPI number 1962432971 Active

Practice location

4109 W Jefferson Blvd, Ste A
Fort Wayne, IN 46804-6894

Fax (260) 486-5058

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	39000309A (IN)
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	20130063A (IN)
Social Worker	104100000X	34004475A (IN)
Social Worker	104100000X	34001306A (IN)
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	3900246A (IN)
Marriage & Family Therapist	106H00000X	None 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 1962432971

Consulting & Counseling Associates, LLC's National Provider Identifier is 1962432971, issued on Jul 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 Apr 3, 2024.