Individual provider · Type 1 NPI

Niesha Nicole Mack

Clinical Social Worker · Detroit, MI

NPI number 1396568481 Active

Practice location

6309 Mack Ave
Detroit, MI 48207-2302

Call (888) 813-8326 Map

Mailing address

29000 Lancaster St Apt 83
Livonia, MI 48154-3842

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6803089004 (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 1396568481

Niesha Nicole Mack's National Provider Identifier is 1396568481, issued on Nov 6, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Nov 6, 2024.