Individual provider · Type 1 NPI

Mark Edward Muilenburg, LMSW

Clinical Social Worker · Fremont, MI

NPI number 1114043908 Active

Practice location

6995 W 48th St
Fremont, MI 49412-9506

Call (231) 924-3390 Map

Fax (231) 924-2848

Mailing address

420 Eleanor St NE
Grand Rapids, MI 49505-4184

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801061098 (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 1114043908

Mark Edward Muilenburg, LMSW's National Provider Identifier is 1114043908, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, MI. The record was last updated on Jul 9, 2007.