Individual provider · Type 1 NPI

Rebecca Gudorf, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1962702548 Active

Practice location

610 N Michigan St, Suite 200
South Bend, IN 46601-1077

Call (574) 232-1471 Map

Fax (574) 239-8511

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34002727A (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 1962702548

Rebecca Gudorf, LCSW's National Provider Identifier is 1962702548, issued on Oct 28, 2010. 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 28, 2010.