Individual provider · Type 1 NPI

Edward Komph Jr., LLMSW

Clinical Social Worker · Marysville, MI

NPI number 1245165091 Active

Practice location

1124 Gratiot Blvd
Marysville, MI 48040-1133

Call (810) 824-4318 Map

Mailing address

54652 Arrow Wood Ln
New Baltimore, MI 48047-6305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121955 (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 1245165091

Edward Komph Jr., LLMSW's National Provider Identifier is 1245165091, issued on Jun 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marysville, MI. The record was last updated on Jun 15, 2026.