Individual provider · Type 1 NPI

Julie Ann Light-Rodgers, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1962692400 Active

Practice location

2200 Lake Ave, Suite 260
Fort Wayne, IN 46805-5397

Call (260) 424-0411 Map

Fax (260) 424-3530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X39001885A (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 1962692400

Julie Ann Light-Rodgers, LCSW's National Provider Identifier is 1962692400, issued on Jul 31, 2007. 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 Jul 31, 2007.