Individual provider · Type 1 NPI

Ellen Rose Tabak, ACSW, M.A.

Clinical Social Worker · Bloomfield Hills, MI

NPI number 1396743704 Active

Practice location

101 W Long Lake Rd
Bloomfield Hills, MI 48304-2749

Fax (248) 480-4966

Mailing address

1960 Golf Ridge Dr
Bloomfield Hills, MI 48302-1725

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801018478 (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 1396743704

Ellen Rose Tabak, ACSW, M.A.'s National Provider Identifier is 1396743704, issued on Jul 9, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Oct 7, 2019.