Individual provider · Type 1 NPI

Jason Kyle Wade, LLMSW

Clinical Social Worker · Livonia, MI

NPI number 1376462911 Active

Practice location

37450 Schoolcraft Rd Ste 110
Livonia, MI 48150-1000

Mailing address

7215 Springridge Rd
West Bloomfield, MI 48322-4160

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851122392 (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 1376462911

Jason Kyle Wade, LLMSW's National Provider Identifier is 1376462911, issued on Jul 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Livonia, MI. The record was last updated on Jul 15, 2026.