Individual provider · Type 1 NPI

Mark Paul Douma, MSW, LMSW

Clinical Social Worker · Royal Oak, MI

NPI number 1104255199 Active

Practice location

116 N Altadena Ave
Royal Oak, MI 48067-1948

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801020249 (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 1104255199

Mark Paul Douma, MSW, LMSW's National Provider Identifier is 1104255199, issued on Nov 11, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Royal Oak, MI. The record was last updated on Nov 11, 2013.