Individual provider · Type 1 NPI

Kenyatta Fatina Lewis, LLMSW

Clinical Social Worker · Southgate, MI

NPI number 1053433037 Active

Practice location

13101 Allen Rd, Adult Outpatient Mental Health, Suite 100
Southgate, MI 48195-2216

Mailing address

41355 Williamsburg Blvd
Canton, MI 48187-3967

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801088637 (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 1053433037

Kenyatta Fatina Lewis, LLMSW's National Provider Identifier is 1053433037, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southgate, MI. The record was last updated on Jul 8, 2007.