Individual provider · Type 1 NPI

Shannan Lustig

Clinical Social Worker · Livonia, MI

NPI number 1053904615 Active

Practice location

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952

Call (734) 462-3210 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801116716 (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 1053904615

Shannan Lustig's National Provider Identifier is 1053904615, issued on Feb 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Livonia, MI. The record was last updated on Aug 1, 2023.