Individual provider · Type 1 NPI

Jessica Marie Short-Slack, LMSW

Clinical Social Worker · Flushing, MI

NPI number 1023489770 Active

Practice location

5122 Pasadena Ave
Flushing, MI 48433-2417

Mailing address

PO Box 672
Grand Blanc, MI 48480-0672

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801098796 (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 1023489770

Jessica Marie Short-Slack, LMSW's National Provider Identifier is 1023489770, issued on Oct 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flushing, MI. The record was last updated on Dec 12, 2022.