Organization · Type 2 NPI

The Space Between Counseling and Wellness, LLC

Clinical Social Worker · Lake Orion, MI

NPI number 1093620569 Active

Practice location

169 W Clarkston Rd Ste 500
Lake Orion, MI 48362-2898

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1093620569

The Space Between Counseling and Wellness, LLC's National Provider Identifier is 1093620569, issued on Aug 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Orion, MI. The record was last updated on Aug 18, 2026.