Individual provider · Type 1 NPI

Debra Lynn Wine, MSW

Clinical Social Worker · Port Huron, MI

NPI number 1508487489 Active

Practice location

309 Huron Ave
Port Huron, MI 48060-3869

Mailing address

820 Edison Blvd
Port Huron, MI 48060-2116

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801019767 (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 1508487489

Debra Lynn Wine, MSW's National Provider Identifier is 1508487489, issued on May 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Huron, MI. The record was last updated on May 1, 2020.