Individual provider · Type 1 NPI
Antasia Maddox, LMSW-C
Clinical Social Worker · Ypsilanti, MI
Practice location
124 Pearl St Ste 503
Ypsilanti, MI 48197-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801121406 (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…
2 other providers at this address
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About NPI 1659088870
Antasia Maddox, LMSW-C's National Provider Identifier is 1659088870, issued on Oct 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ypsilanti, MI. The record was last updated on Dec 11, 2025.