Individual provider · Type 1 NPI

Krista Tisdel, LMSW

Clinical Social Worker · Coopersville, MI

NPI number 1346655255 Active

Practice location

25 Conran Dr Ste B
Coopersville, MI 49404-1366

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801087231 (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 1346655255

Krista Tisdel, LMSW's National Provider Identifier is 1346655255, issued on Jun 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coopersville, MI. The record was last updated on Dec 4, 2017.