Individual provider · Type 1 NPI

Ellen Mbungu

Clinical Social Worker · Grand Rapids, MI

NPI number 1265076798 Active

Practice location

550 Cherry St SE
Grand Rapids, MI 49503-4748

Call (616) 235-7272 Map

Mailing address

1130 Billings Ct SE Apt 2B
Grand Rapids, MI 49508-7388

Other practice locations

  • 505 E Alcott St, Kalamazoo, MI 49001-6144 · (269) 349-2641
  • 117 W Paterson St, Kalamazoo, MI 49007-2557 · (269) 349-2641
  • 1308 N Burdick St, Kalamazoo, MI 49007-2503 · (269) 349-2641

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801114607 (MI)
Social Worker 104100000X6801105656 (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 1265076798

Ellen Mbungu's National Provider Identifier is 1265076798, issued on Oct 28, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 4, 2024.