Individual provider · Type 1 NPI

Stacey Lynn Glynn, MSW, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1154613669 Active

Practice location

1115 Ball Ave NE, Building C
Grand Rapids, MI 49505

Call (616) 456-6571 Map

Fax (616) 451-0020

Mailing address

382 Hayes St
Holland, MI 49424

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801092338 (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 1154613669

Stacey Lynn Glynn, MSW, LLMSW's National Provider Identifier is 1154613669, issued on May 3, 2011. 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 May 3, 2011.