Individual provider · Type 1 NPI

Krystal Lepoudre-Johnston, LLMSW

Clinical Social Worker · Warren, MI

NPI number 1104135607 Active

Practice location

12220 E 13 Mile Rd, Suite 300
Warren, MI 48093-5000

Call (586) 573-1810 Map

Fax (586) 573-2121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801091279 (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 1104135607

Krystal Lepoudre-Johnston, LLMSW's National Provider Identifier is 1104135607, issued on Sep 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Warren, MI. The record was last updated on Sep 30, 2010.