Individual provider · Type 1 NPI

Amy Elizabeth Park-Goeddeke, LMSW

Clinical Social Worker · Sterling Heights, MI

NPI number 1417097700 Active

Practice location

12151 15 Mile Rd
Sterling Heights, MI 48312-5120

Mailing address

13335 15 Mile Rd # 258
Sterling Heights, MI 48312-4210

Other practice locations

  • 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 · (586) 333-5328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801073707 (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 1417097700

Amy Elizabeth Park-Goeddeke, LMSW's National Provider Identifier is 1417097700, issued on Feb 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sterling Heights, MI. The record was last updated on Feb 20, 2026.