Individual provider · Type 1 NPI
Ethan Vaughn
Clinical Social Worker · Milan, MI
Practice location
1 W Main St Ste 2
Milan, MI 48160-1287
Mailing address
458 Argyle Cres
Milan, MI 48160-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6851114171 (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 1609506864
Ethan Vaughn's National Provider Identifier is 1609506864, issued on Jun 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milan, MI. The record was last updated on Feb 24, 2026.