Individual provider · Type 1 NPI

Jacob Maxwell, LLMSW

Clinical Social Worker · Warren, MI

NPI number 1699635284 Active

Practice location

11662 Martin Rd
Warren, MI 48093-4588

Call (586) 558-6868 Map

Fax (586) 558-6893

Mailing address

8717 Cadillac Ave
Warren, MI 48089-2479

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851120861 (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 1699635284

Jacob Maxwell, LLMSW's National Provider Identifier is 1699635284, issued on Nov 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Warren, MI. The record was last updated on Nov 15, 2025.