Organization · Type 2 NPI

Logan Stout Therapy Services,llc

Clinical Social Worker · Portage, MI

NPI number 1508459942 Active

Practice location

800 E Milham Ave Ste 200
Portage, MI 49002-1490

Call (269) 744-4725 Map

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 1508459942

Logan Stout Therapy Services,llc's National Provider Identifier is 1508459942, issued on Feb 17, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, MI. The record was last updated on Feb 17, 2021.