Individual provider · Type 1 NPI

Vicki Denise Bohannon, LBSW

Clinical Social Worker · Detroit, MI

NPI number 1073973731 Active

Practice location

100 River Place Dr Ste 250
Detroit, MI 48207-5402

Call (313) 871-2337 Map

Fax (313) 871-6655

Mailing address

31268 Springlake Blvd, #2204
Novi, MI 48377-1123

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6802084084 (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 1073973731

Vicki Denise Bohannon, LBSW's National Provider Identifier is 1073973731, issued on Feb 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Feb 24, 2016.