Individual provider · Type 1 NPI

Micki Church, LSW

Clinical Social Worker · Columbus, OH

NPI number 1417417411 Active

Practice location

827 Parsons Ave
Columbus, OH 43206-2345

Mailing address

328 N Burgess Ave
Columbus, OH 43204-3308

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X2208303 (OH)

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 1417417411

Micki Church, LSW's National Provider Identifier is 1417417411, issued on Mar 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jan 27, 2026.