Individual provider · Type 1 NPI

Otha Brown, MSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1194026112 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 459-7215 Map

Fax (616) 451-0020

Mailing address

4684 Wrightwind Dr SE
Grand Rapids, MI 49546-6395

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XSW008596 (PA)
Clinical Social Worker Primary 1041C0700X6801092030 (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 1194026112

Otha Brown, MSW's National Provider Identifier is 1194026112, issued on Nov 8, 2010. 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 Nov 8, 2010.