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MRS. GWENDOLYN C DEHORN L.C.S.W NPI 1245237114


NPI Information

NPI: 1245237114
Provider Name: MRS. GWENDOLYN C DEHORN, L.C.S.W
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
150 W ANGELA BLVD
SOUTH BEND, IN
ZIP 46617
Phone: (574) 245-3920
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MRS. Gwendolyn C Dehorn, L.C.S.W is a clinical social worker in South Bend, IN. The provider is 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. MRS. Gwendolyn C Dehorn, L.C.S.W NPI is 1245237114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 W ANGELA BLVD
SOUTH BEND, IN
ZIP 46617-101
Phone: (574) 245-3920
Fax: (573) 232-5386

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health34003375INDIANANo
21041C0700XSocial WorkerClinical34003375INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134003375OTHERINDIANASTATE LICENCE NUMBER
200000018781300OTHERINDIANABLUE CROSS BLUE SHIELD
3M400021442MEDICARE PIN
4140640AMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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