Organization · Type 2 NPI

Kathryn Bultman L.l.c.

Clinical Social Worker · Grand Rapids, MI

NPI number 1124120670 Active

Practice location

1179 E Paris Ave SE
Grand Rapids, MI 49546-8371

Call (616) 460-1857 Map

Fax (616) 454-0061

Mailing address

2231 Ridgecroft Ave SE
Grand Rapids, MI 49546-5759

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801082187 (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 1124120670

Kathryn Bultman L.l.c.'s National Provider Identifier is 1124120670, issued on Sep 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 22, 2020.