Individual provider · Type 1 NPI

Krista Dornbusch

Clinical Social Worker · Madison Heights, MI

NPI number 1306187901 Active

Practice location

30685 Barrington St Ste 140
Madison Heights, MI 48071-5116

Fax (248) 414-4085

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801093211 (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 1306187901

Krista Dornbusch's National Provider Identifier is 1306187901, issued on Mar 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison Heights, MI. The record was last updated on Mar 6, 2013.