Individual provider · Type 1 NPI
Evan Theodore Fulford, LMSW
Clinical Social Worker · Detroit, MI
Practice location
19928 Lichfield Rd
Detroit, MI 48221-1363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801106033 (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 1669091286
Evan Theodore Fulford, LMSW's National Provider Identifier is 1669091286, issued on Apr 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Apr 14, 2020.