Individual provider · Type 1 NPI

Kathleen Mixen

Clinical Social Worker · Rochester Hills, MI

NPI number 1124630538 Active

Practice location

52585 Dequindre Rd
Rochester Hills, MI 48307-2321

Call (248) 726-3000 Map

Mailing address

3525 Howland Rd
Almont, MI 48003-8060

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1124630538

Kathleen Mixen's National Provider Identifier is 1124630538, issued on Aug 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester Hills, MI. The record was last updated on Aug 26, 2026.