Individual provider · Type 1 NPI

Kallie Minarik, LLMSW

Clinical Social Worker · South Lyon, MI

NPI number 1609338763 Active

Practice location

23200 Pontiac Trl Ste B
South Lyon, MI 48178-1983

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851116315 (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 1609338763

Kallie Minarik, LLMSW's National Provider Identifier is 1609338763, issued on Apr 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lyon, MI. The record was last updated on May 14, 2025.