Individual provider · Type 1 NPI

Kelly A. Teague, LISW

Clinical Social Worker · Waterford, MI

NPI number 1023055936 Active

Practice location

6637 Highland Rd
Waterford, MI 48327-1675

Mailing address

8006 Crescent Dr
Clarkston, MI 48348-3939

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801077026 (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 1023055936

Kelly A. Teague, LISW's National Provider Identifier is 1023055936, issued on May 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterford, MI. The record was last updated on Oct 5, 2007.