Individual provider · Type 1 NPI

Katie Fennell, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1023164670 Active

Practice location

2340 Dean Lake Ave NE
Grand Rapids, MI 49505-4446

Fax (616) 361-8051

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801090673 (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 1023164670

Katie Fennell, LMSW's National Provider Identifier is 1023164670, issued on Jan 26, 2007. 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 Jun 22, 2015.