Individual provider · Type 1 NPI

Charles Sonny Phipps Sr., LMSW

Clinical Social Worker · Detroit, MI

NPI number 1083854707 Active

Practice location

882 Oakman Blvd
Detroit, MI 48238-3710

Fax (313) 961-5120

Mailing address

16204 Mount Vernon St
Southfield, MI 48075-3108

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700X6801094562 (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 1083854707

Charles Sonny Phipps Sr., LMSW's National Provider Identifier is 1083854707, issued on Feb 21, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 8, 2016.