Individual provider · Type 1 NPI

Antonio Elmore Sr.

Clinical Social Worker · Detroit, MI

NPI number 1205238730 Active

Practice location

1600 Porter St
Detroit, MI 48216-1936

Fax (313) 196-3685

Mailing address

1600 Porter St
Detroit, MI 48207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6802078769 (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 1205238730

Antonio Elmore Sr.'s National Provider Identifier is 1205238730, issued on Sep 16, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 16, 2014.