Individual provider · Type 1 NPI

Samantha Jo Push, LMSW

Clinical Social Worker · Detroit, MI

NPI number 1609363480 Active

Practice location

79 W Alexandrine St
Detroit, MI 48201-2015

Mailing address

2279 Mark Ave
Lincoln Park, MI 48146-2550

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801115084 (MI)
Clinical Social Worker Primary 1041C0700X6801102005 (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 1609363480

Samantha Jo Push, LMSW's National Provider Identifier is 1609363480, issued on Apr 17, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Feb 28, 2023.