Individual provider · Type 1 NPI
Jennifer Nidetz, LMSW
Clinical Social Worker · South Lyon, MI
Practice location
23015 Cheyenne Dr
South Lyon, MI 48178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801097243 (MI) |
| Clinical Social Worker | 1041C0700X | 149015759 (IL) |
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 1255722088
Jennifer Nidetz, LMSW's National Provider Identifier is 1255722088, issued on Feb 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lyon, MI. The record was last updated on Feb 16, 2015.