Individual provider · Type 1 NPI

Glenn Douglas Campbell Whitelaw, LMSW, LMFT, ACSW, NA

Clinical Social Worker · Pontiac, MI

NPI number 1659650638 Active

Practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Call (248) 858-7766 Map

Fax (248) 858-7201

Mailing address

2045 E West Maple Rd, Suite D-407
Commerce Township, MI 48390-3801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801017103 (MI)
Marriage & Family Therapist 106H00000X4101005142 (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 1659650638

Glenn Douglas Campbell Whitelaw, LMSW, LMFT, ACSW, NA's National Provider Identifier is 1659650638, issued on Aug 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pontiac, MI. The record was last updated on Aug 9, 2011.