Organization · Type 2 NPI

Lavender Grove Therapy Services LLC

Clinical Social Worker · Grand Blanc, MI

NPI number 1669367249 Active

Practice location

8308 Office Park Dr Ste 1
Grand Blanc, MI 48439-2075

Fax (810) 221-0287

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1669367249

Lavender Grove Therapy Services LLC's National Provider Identifier is 1669367249, issued on Jun 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Blanc, MI. The record was last updated on Dec 18, 2025.