Organization · Type 2 NPI

Quiet Avenue LLC

Clinical Social Worker · Detroit, MI

NPI number 1508400573 Active

Practice location

5555 Conner St Ste 3096
Detroit, MI 48213-3817

Fax (313) 532-3615

Mailing address

16835 Westmoreland Rd
Detroit, MI 48219-4028

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1508400573

Quiet Avenue LLC's National Provider Identifier is 1508400573, issued on Nov 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Nov 3, 2019.