Individual provider · Type 1 NPI

Ivy Macnicol, LLMSW

Clinical Social Worker · East Jordan, MI

NPI number 1386572477 Active

Practice location

601 Bridge St
East Jordan, MI 49727-9421

Fax (231) 536-7150

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6851121874 (MI)
Community Health Worker	172V00000X	20260216 (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 1386572477

Ivy Macnicol, LLMSW's National Provider Identifier is 1386572477, issued on May 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Jordan, MI. The record was last updated on Aug 27, 2026.