Individual provider · Type 1 NPI

Kirstyn Jane Gordon, MSW, LLMSW

Clinical Social Worker · Jackson, MI

NPI number 1376094466 Active

Practice location

1200 N West Ave Ste 300
Jackson, MI 49202-2174

Call (517) 789-1234 Map

Mailing address

3768 Monroe Rd
Tipton, MI 49287-9813

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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 1376094466

Kirstyn Jane Gordon, MSW, LLMSW's National Provider Identifier is 1376094466, issued on Oct 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Feb 25, 2020.