Individual provider · Type 1 NPI

Mary Theel, LMSW

Clinical Social Worker · Capac, MI

NPI number 1689008161 Active

Practice location

14675 Downey Rd
Capac, MI 48014

Mailing address

3111 Electric Ave
Port Huron, MI 48060-8127

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801097995 (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 1689008161

Mary Theel, LMSW's National Provider Identifier is 1689008161, issued on Sep 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Capac, MI. The record was last updated on Mar 31, 2026.