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MULBERRY CENTER INC. NPI 1407919848


NPI Information

NPI: 1407919848
Provider Name: MULBERRY CENTER, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
414 SE 4TH ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 423-4700
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MULBERRY CENTER, INC. is a clinical social worker in Evansville, 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. MULBERRY CENTER, INC. NPI is 1407919848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 SE 4TH ST
EVANSVILLE, IN
ZIP 47713-206
Phone: (812) 423-4700
Fax: (812) 421-2618

The provider's authorized official is Michael Carroll .
The authorized official title is Acting Exec Director and has the following contact phone number (812) 436-4231.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 4/1/2014.


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
11041C0700XSocial WorkerClinicalYes

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
1200453230AMEDICAIDINDIANA
2200453230MEDICAIDINDIANA
3208300MEDICARE ID-TYPE UNSPECIFIED

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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