Individual provider · Type 1 NPI
Jeremy Sean Forray-Molica, LMSW, CADC
Clinical Social Worker · Niles, MI
Practice location
24 N. Saint Joseph Avenue Suite A & G
Niles, MI 49120-2622
Fax (269) 927-1326
Mailing address
1485 M 139
Benton Harbor, MI 49022-5711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801121102 (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 1578190815
Jeremy Sean Forray-Molica, LMSW, CADC's National Provider Identifier is 1578190815, issued on Mar 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, MI. The record was last updated on Jul 16, 2026.