Individual provider · Type 1 NPI

Jackie Stephan, LMSW

Clinical Social Worker · Southfield, MI

NPI number 1275967952 Active

Practice location

15700 W 10 Mile Rd Ste 106
Southfield, MI 48075

Call (989) 225-4111 Map

Fax (248) 575-4555

Other practice locations

  • 15700 W 10 Mile Rd Ste 106, Southfield, MI 48075 · (989) 225-4111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801092663 (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 1275967952

Jackie Stephan, LMSW's National Provider Identifier is 1275967952, issued on Aug 29, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Feb 17, 2019.