Organization · Type 2 NPI

Phoenix Restorative Therapy PLLC

Clinical Social Worker · Davison, MI

NPI number 1255214573 Active

Practice location

5014 S State Rd
Davison, MI 48423-8753

Mailing address

1459 Rosewood St
Ann Arbor, MI 48104-6230

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 1255214573

Phoenix Restorative Therapy PLLC's National Provider Identifier is 1255214573, issued on Jul 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davison, MI. The record was last updated on Jul 26, 2025.