Organization · Type 2 NPI

Mindful Life Practice, LLC

Clinical Social Worker · Traverse City, MI

NPI number 1053781765 Active

Practice location

221 Garland St
Traverse City, MI 49684-2372

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6401009566 (MI)
Clinical Social Worker 1041C0700X6801093556 (MI)
Clinical Social Worker Primary 1041C0700X6801092522 (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 1053781765

Mindful Life Practice, LLC's National Provider Identifier is 1053781765, issued on Oct 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Traverse City, MI. The record was last updated on Jan 17, 2025.