Individual provider · Type 1 NPI

Jacob Douville

Clinical Social Worker · Brighton, MI

NPI number 1134094881 Active

Practice location

10299 Grand River Rd
Brighton, MI 48116-6541

Mailing address

4305 S Cedar St
Lansing, MI 48910-5461

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851119347 (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 1134094881

Jacob Douville's National Provider Identifier is 1134094881, issued on Oct 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brighton, MI. The record was last updated on Oct 10, 2025.