Individual provider · Type 1 NPI

Jessica Lynn Gouin, MSW

Clinical Social Worker · Ann Arbor, MI

NPI number 1114017027 Active

Practice location

4925 Packard St
Ann Arbor, MI 48108-1521

Fax (734) 971-2730

Mailing address

1763 Lindbergh St
Wyandotte, MI 48192-7221

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801087423 (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 1114017027

Jessica Lynn Gouin, MSW's National Provider Identifier is 1114017027, issued on Oct 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 8, 2007.