NPI 1225228828

Sally Ann Primus, MSWLCSW

Practitioner Clinical Social Worker Portage, IN

Practice location

Address: 3176 Lancer St Suite 501, Portage, IN 46368
Phone: (219) 762-9557
Fax: (219) 762-7318
Mailing address: 3176 Lancer St, Portage, IN 46368

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34006144A (IN)

Other Social Worker providers in Indiana →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 99027928A (IN)

Registry record

NPI: 1225228828
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2007
Record last updated: 27 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.