Individual provider · Type 1 NPI

Stephanie Beavis

Clinical Social Worker · Southfield, MI

NPI number 1205584752 Active

Practice location

17515 W 9 Mile Rd Ste 345
Southfield, MI 48075-4403

Mailing address

9409 N Haggerty Rd
Plymouth, MI 48170-4696

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 1205584752

Stephanie Beavis's National Provider Identifier is 1205584752, issued on Mar 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Nov 25, 2025.