Individual provider · Type 1 NPI

Emily Dodge

Clinical Social Worker · Grandville, MI

NPI number 1265110134 Active

Practice location

3030 Ivanrest Ave SW Ste 1
Grandville, MI 49418-2942

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801121180 (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 1265110134

Emily Dodge's National Provider Identifier is 1265110134, issued on Jul 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grandville, MI. The record was last updated on Apr 6, 2026.