Individual provider · Type 1 NPI

Douglas Wood Cushman, L. M. S. W.

Clinical Social Worker · Lowell, MI

NPI number 1063574077 Active

Practice location

11652 W Grand River Ave
Lowell, MI 49331-9203

Fax (616) 897-5954

Mailing address

3329 Vermont Ave SW
Grandville, MI 49418-1807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801061467 (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 1063574077

Douglas Wood Cushman, L. M. S. W.'s National Provider Identifier is 1063574077, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lowell, MI. The record was last updated on Jul 8, 2007.