Individual provider · Type 1 NPI

Angela Iacoboni, LLMSW

Clinical Social Worker · Jenison, MI

NPI number 1124491055 Active

Practice location

1836 Baldwin St
Jenison, MI 49428-8901

Call (616) 457-0016 Map

Mailing address

6915 Brewer Ave NE
Rockford, MI 49341-9213

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801092970 (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 1124491055

Angela Iacoboni, LLMSW's National Provider Identifier is 1124491055, issued on Oct 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jenison, MI. The record was last updated on Oct 30, 2015.