Organization · Type 2 NPI

Radical Therapy PLLC

Clinical Social Worker · Grand Rapids, MI

NPI number 1578414850 Active

Practice location

800 Monroe Ave NW Ste 314
Grand Rapids, MI 49503-1451

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 1578414850

Radical Therapy PLLC's National Provider Identifier is 1578414850, issued on Feb 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 27, 2026.