Individual provider · Type 1 NPI
Jordan Margaret Chantaca
Clinical Social Worker · Livonia, MI
Practice location
32290 5 Mile Rd Ste 1
Livonia, MI 48154-6110
Fax (734) 785-8328
Mailing address
PO Box 12279
Lansing, MI 48901-2279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6851117187 (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 1063141802
Jordan Margaret Chantaca's National Provider Identifier is 1063141802, issued on Jun 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Livonia, MI. The record was last updated on Mar 18, 2025.