Individual provider · Type 1 NPI

Nicole Moody, LMSW

Clinical Social Worker · East Lansing, MI

NPI number 1104244391 Active

Practice location

2843 E Grand River Ave # 172
East Lansing, MI 48823-6722

Mailing address

1144 Woodwind Trl
Haslett, MI 48840-8955

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801090018 (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 1104244391

Nicole Moody, LMSW's National Provider Identifier is 1104244391, issued on Apr 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Lansing, MI. The record was last updated on Apr 27, 2022.