Individual provider · Type 1 NPI

Edith Susan Root-Clark, LMSW, CAADC

Clinical Social Worker · Detroit, MI

NPI number 1689827768 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC-01836 (MI)
Clinical Social Worker Primary 1041C0700X6801090621 (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 1689827768

Edith Susan Root-Clark, LMSW, CAADC's National Provider Identifier is 1689827768, issued on Nov 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Jan 9, 2020.