Organization · Type 2 NPI
Lost Lake Healing
Clinical Social Worker · Remus, MI
Practice location
13419 Swistier Dr
Remus, MI 49340-9381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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…
About NPI 1104732155
Lost Lake Healing's National Provider Identifier is 1104732155, issued on Aug 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Remus, MI. The record was last updated on Sep 19, 2026.