Individual provider · Type 1 NPI

Kelly Susan Diemond, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1407416985 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6801111361 (MI)
Social Worker	104100000X	6801104261 (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 1407416985

Kelly Susan Diemond, LMSW's National Provider Identifier is 1407416985, issued on Jun 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 27, 2023.