Individual provider · Type 1 NPI

Krystal Evola, LLMSW

Clinical Social Worker · Washington Township, MI

NPI number 1164110698 Active

Practice location

60005 Campground Rd Ste 400
Washington Township, MI 48094-3446

Mailing address

60005 Campground Rd
Washington Township, MI 48094-3445

Specialties and licenses

TaxonomyCodeLicense
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 1164110698

Krystal Evola, LLMSW's National Provider Identifier is 1164110698, issued on Apr 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington Township, MI. The record was last updated on Apr 24, 2023.