Individual provider · Type 1 NPI

Tiffany Mickens, LCSW

Clinical Social Worker · Novi, MI

NPI number 1417614280 Active

Practice location

24230 Karim Blvd Ste 100
Novi, MI 48375-2960

Mailing address

762 Creek Bottom Rd
Loganville, GA 30052-6665

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X088095 (NY)

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 1417614280

Tiffany Mickens, LCSW's National Provider Identifier is 1417614280, issued on Nov 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Novi, MI. The record was last updated on Nov 29, 2021.