| Doctor Name: | DAVID LEE WORD |
| NPI Number: | 1881742930 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 99023274A |
| Business Practice Address: | 41230 State Road 2 W Suite B Laporte, IN - 46350 |
| Business Phone Number: | 2198622145 |
| Business Fax Number: | 2193621143 |
| Mailing Address: | 5360 Lincoln St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464101353 |
| Phone Number: | 2193622145 |
| Fax Number: | 2198621143 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 99023274A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |