Individual provider · Type 1 NPI

Kelly Decker, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1013516533 Active

Practice location

250 Cherry St SE Ste 2200
Grand Rapids, MI 49503-4608

Call (616) 685-5600 Map

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801104684 (MI)

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 1013516533

Kelly Decker, LMSW's National Provider Identifier is 1013516533, issued on Oct 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2020.