Organization · Type 2 NPI

Henry Ford Health Providence Hospital

Clinical Social Worker · Southfield, MI

NPI number 1144285107 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-2244

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
General Practice Physician 208D00000XNone 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 1144285107

Henry Ford Health Providence Hospital's National Provider Identifier is 1144285107, issued on Apr 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jul 16, 2026.