Individual provider · Type 1 NPI

Vitalis Im

Clinical Social Worker · Ypsilanti, MI

NPI number 1003402207 Active

Practice location

3150 Packard Rd
Ypsilanti, MI 48197-1994

Call (248) 581-8777 Map

Mailing address

2222 W Grand River Ave Ste A
Okemos, MI 48864-1604

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801120101 (MI)
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003402207

Vitalis Im's National Provider Identifier is 1003402207, issued on Dec 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ypsilanti, MI. The record was last updated on May 8, 2025.