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Summit Counseling Services Pc
Clinical Social Worker in South Bend, Indiana
NPI 1619181757

Summit Counseling Services Pc is a Clinical Social Worker based in Bristol, IN and is specialized in Clinical. Summit Counseling Services Pc practices in South Bend, IN. The NPI Number for Summit Counseling Services Pc is 1619181757 and holds a License No. 20010389A (Indiana).

The current practice location address for Summit Counseling Services Pc is 928 E Wayne St, South Bend, IN and can be reached out via phone at 574-286-0030 and via fax at 574-234-1994.

Location: 928 E Wayne St, South Bend, IN, 46507-9710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619181757
Provider Name
Summit Counseling Services Pc
Credential
Provider Entity Type
Organization
Address
928 E Wayne St, South Bend, IN, 46507-9710
Phone Number
574-286-0030
Fax Number
574-234-1994
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000373890 01 IN ANTHEM GROUP NUMBER
000000373892 01 IN ANTHEM INDIV PROVIDER #
000000393533 01 IN ANTHEM INDIV PROVIDER #
000000485220 01 IN ANTHEM INDIV PROVIDER #
institution
Provider Business Practice Location Address Details
Address
928 E Wayne St
City
South Bend
State
Indiana
Zip
46617-3024
Phone Number
574-286-0030
Fax Number
574-234-1994
person
Provider Business Mailing Address Details
Address
928 E Wayne St
City
South Bend
State
Indiana
Zip
46617-3024
Phone Number
574-286-0030
Fax Number
574-234-1994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
34004946A (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
20010389A (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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