Organization · Type 2 NPI

Myselfincluded 2

Clinical Social Worker · Detroit, MI

NPI number 1083486930 Active

Practice location

15140 Livernois Ave
Detroit, MI 48238-2045

Call (248) 459-2147 Map

Mailing address

14123 Shamrock Dr
Redford, MI 48239-2995

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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 1083486930

Myselfincluded 2's National Provider Identifier is 1083486930, issued on Oct 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Jul 29, 2026.