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Lawrence Carlson Willoughby, LCSW
Clinical Social Worker in South Bend, Indiana
NPI 1063488963

Lawrence Carlson Willoughby is a Clinical Social Worker based in Goshen, IN and is specialized in Clinical. Lawrence Carlson Willoughby practices in South Bend, IN and has the professional credentials of LCSW. The NPI Number for Lawrence Carlson Willoughby is 1063488963 and holds a License No. 34002033A (Indiana).

The current practice location address for Lawrence Carlson Willoughby is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-533-1234 and via fax at 574-537-2652.

Location: 403 E Madison St, South Bend, IN, 46527-0809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063488963
Provider Name
Lawrence Carlson Willoughby
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
403 E Madison St, South Bend, IN, 46527-0809
Phone Number
574-533-1234
Fax Number
574-537-2652
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
34002033A (Indiana)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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