Individual provider · Type 1 NPI

Carl Glenn Hagstrom, MSW

Clinical Social Worker · Ann Arbor, MI

NPI number 1720502883 Active

Practice location

342 S Ashley St
Ann Arbor, MI 48104-1351

Fax (734) 929-4415

Mailing address

PO Box 130223
Ann Arbor, MI 48113-0223

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801071286 (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 1720502883

Carl Glenn Hagstrom, MSW's National Provider Identifier is 1720502883, issued on Jul 31, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 31, 2017.