Individual provider · Type 1 NPI

Jesse David Lalla, LMSW

Clinical Social Worker · Dearborn, MI

NPI number 1083069223 Active

Practice location

5500 Auto Club Dr
Dearborn, MI 48126-2779

Call (313) 317-2000 Map

Fax (313) 317-2090

Mailing address

5111 Auto Club Dr
Dearborn, MI 48126-2749

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801095840 (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 1083069223

Jesse David Lalla, LMSW's National Provider Identifier is 1083069223, issued on Apr 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dearborn, MI. The record was last updated on Feb 26, 2021.