Individual provider · Type 1 NPI

Autumn De Silva

Clinical Social Worker · East Lansing, MI

NPI number 1376106641 Active

Practice location

300 Bailey St
East Lansing, MI 48823-4444

Call (517) 565-4475 Map

Mailing address

2190 Aurelius Rd Unit 82
Holt, MI 48842-5503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801100447 (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 1376106641

Autumn De Silva's National Provider Identifier is 1376106641, issued on Apr 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Lansing, MI. The record was last updated on Apr 22, 2019.