Individual provider · Type 1 NPI

Keli Marie Kildow-Polymeneas, LMSW

Clinical Social Worker · Southfield, MI

NPI number 1295046910 Active

Practice location

22170 W 9 Mile Rd
Southfield, MI 48033-6007

Fax (248) 350-3159

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	C-00447 (MI)
Clinical Social Worker Primary	1041C0700X	6801086283 (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 1295046910

Keli Marie Kildow-Polymeneas, LMSW's National Provider Identifier is 1295046910, issued on Jun 28, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jun 28, 2010.