Individual provider · Type 1 NPI

Stella Jane Park

Clinical Social Worker · Dearborn, MI

NPI number 1437993532 Active

Practice location

19855 Outer Dr Ste 300
Dearborn, MI 48124-2022

Call (313) 359-1977 Map

Mailing address

5590 Nottingham Ct Apt 209
Dearborn, MI 48126-2673

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851117216 (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 1437993532

Stella Jane Park's National Provider Identifier is 1437993532, issued on Jun 24, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dearborn, MI. The record was last updated on Jun 24, 2024.