Individual provider · Type 1 NPI

Candace Lynn Tillery, LMSW, CAADC, SAP

Clinical Social Worker · Lansing, MI

NPI number 1114389301 Active

Practice location

3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600

Call (517) 515-6176 Map

Fax (517) 515-6176

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC-03445 (MI)
Behavior Analyst 103K00000XNone listed
Clinical Social Worker Primary 1041C0700X6801099467 (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 1114389301

Candace Lynn Tillery, LMSW, CAADC, SAP's National Provider Identifier is 1114389301, issued on Mar 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lansing, MI. The record was last updated on Mar 21, 2024.