Individual provider · Type 1 NPI

Marisa Youngblood, MSW

Clinical Social Worker · Southfield, MI

NPI number 1649534264 Active

Practice location

24445 Norhtwestern Highway 100
Southfield, MI 48075

Fax (248) 483-7868

Mailing address

24445 Norhtwestern Highway Ste 100
Southfield, MI 48075

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801021332 (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 1649534264

Marisa Youngblood, MSW's National Provider Identifier is 1649534264, issued on Jun 28, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jun 28, 2012.