Individual provider · Type 1 NPI

India Vianca Owen

Clinical Social Worker · Detroit, MI

NPI number 1508712167 Active

Practice location

19750 Burt Rd
Detroit, MI 48219-2078

Call (313) 531-2500 Map

Mailing address

9617 Asbury Park
Detroit, MI 48227-1068

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121457 (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 1508712167

India Vianca Owen's National Provider Identifier is 1508712167, issued on Mar 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Mar 6, 2026.