Individual provider · Type 1 NPI

Conni Jani Lutes, MSW

Clinical Social Worker · Portage, MI

NPI number 1306940663 Active

Practice location

8036 Moorsbridge Road, Suite #2
Portage, MI 49024-4417

Fax (269) 327-6454

Mailing address

PO Box 2585
Portage, MI 49081-2585

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XW 6801046168 (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 1306940663

Conni Jani Lutes, MSW's National Provider Identifier is 1306940663, issued on Sep 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, MI. The record was last updated on Jul 8, 2007.