Individual provider · Type 1 NPI

Phyllis Vaughan

Clinical Social Worker · Detroit, MI

NPI number 1205509932 Active

Practice location

20303 Kelly Rd
Detroit, MI 48225-1206

Call (313) 506-9786 Map

Mailing address

18108 Cheval Dr
Clinton Township, MI 48038-1242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851107002 (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 1205509932

Phyllis Vaughan's National Provider Identifier is 1205509932, issued on Jul 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Jul 28, 2021.