Organization · Type 2 NPI

David G. Mikkola PC

Clinical Social Worker · Bingham Farms, MI

NPI number 1376707463 Active

Practice location

30200 Telegraph Rd, Suite 402
Bingham Farms, MI 48025-4502

Call (248) 644-3200 Map

Fax (248) 644-3211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X680103141 (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 1376707463

David G. Mikkola PC's National Provider Identifier is 1376707463, issued on Jul 17, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bingham Farms, MI. The record was last updated on Jul 17, 2008.