Provider Demographics
NPI:1518915644
Name:SEXTON, DAVID L (MSW ACSW LCSW DCSW L)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:SEXTON
Suffix:
Gender:M
Credentials:MSW ACSW LCSW DCSW L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SILHAVY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-4461
Mailing Address - Country:US
Mailing Address - Phone:219-464-1234
Mailing Address - Fax:219-464-1235
Practice Address - Street 1:505 SILHAVY RD
Practice Address - Street 2:STE 100
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-4461
Practice Address - Country:US
Practice Address - Phone:219-464-1234
Practice Address - Fax:219-464-1235
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000094106H00000X
IN340002461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist