Individual provider · Type 1 NPI

Geoffrey Kantack, LMSW

Clinical Social Worker · Troy, MI

NPI number 1053718759 Active

Practice location

2075 W Big Beaver Rd
Troy, MI 48084-3407

Call (248) 646-6659 Map

Mailing address

5718 Kenmoor Rd
Bloomfield Hills, MI 48301-1018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801096724 (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 1053718759

Geoffrey Kantack, LMSW's National Provider Identifier is 1053718759, issued on Nov 24, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Troy, MI. The record was last updated on Jan 30, 2018.