Individual provider · Type 1 NPI

Gregory Scot Deacon, LLP

Clinical Social Worker · Grand Rapids, MI

NPI number 1689740078 Active

Practice location

201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513

Fax (616) 774-9022

Specialties and licenses

Taxonomy	Code	License
Cognitive & Behavioral Psychologist	103TB0200X	6301010405 (MI)
Clinical Psychologist	103TC0700X	6301010405 (MI)
Counseling Psychologist	103TC1900X	6301010405 (MI)
Social Worker	104100000X	6301010405 (MI)
Clinical Social Worker Primary	1041C0700X	6301010405 (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 1689740078

Gregory Scot Deacon, LLP's National Provider Identifier is 1689740078, issued on Nov 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 11, 2025.