Individual provider · Type 1 NPI
Samone L. Derks, LMSW
Clinical Social Worker · Marquette, MI
Practice location
129 W Baraga Ave Ste F
Marquette, MI 49855-4761
Fax (906) 273-1650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60781970 (WA) |
| Clinical Social Worker Primary | 1041C0700X | 6801102088 (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 1447768056
Samone L. Derks, LMSW's National Provider Identifier is 1447768056, issued on Jan 17, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marquette, MI. The record was last updated on Oct 22, 2020.