Individual provider · Type 1 NPI

Kryston Jean Noble-Hartzler, LCSW, LCAC

Clinical Social Worker · Goshen, IN

NPI number 1992084131 Active

Practice location

114 S Main St
Goshen, IN 46526-3702

Fax (574) 534-3951

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87000436A (IN)
Clinical Social Worker 1041C0700X6801091039 (MI)
Clinical Social Worker Primary 1041C0700X34005513A (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 1992084131

Kryston Jean Noble-Hartzler, LCSW, LCAC's National Provider Identifier is 1992084131, issued on Aug 5, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Goshen, IN. The record was last updated on Aug 5, 2011.