Organization · Type 2 NPI

Ivory Lotus Psychotherapy

Clinical Social Worker · Sterling Heights, MI

NPI number 1356294409 Active

Practice location

33818 King Richard Dr
Sterling Heights, MI 48310-6346

Call (734) 489-1192 Map

Mailing address

3903 Manor St
Philadelphia, PA 19128-5224

Other practice locations

  • 3903 Manor St, Philadelphia, PA 19128-5224 · (734) 489-1192

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1356294409

Ivory Lotus Psychotherapy's National Provider Identifier is 1356294409, issued on Feb 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sterling Heights, MI. The record was last updated on Feb 18, 2026.