Individual provider · Type 1 NPI

Theresa Waurzyniak Kelly, LMSW

Clinical Social Worker · Grand Blanc, MI

NPI number 1720527146 Active

Practice location

10785 S Saginaw St, Bldg. E, Ste. A
Grand Blanc, MI 48439-7003

Call (810) 695-0055 Map

Fax (810) 695-6813

Mailing address

12141 Townline Rd
Grand Blanc, MI 48439-1659

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801018578 (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 1720527146

Theresa Waurzyniak Kelly, LMSW's National Provider Identifier is 1720527146, issued on Feb 17, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Blanc, MI. The record was last updated on Feb 17, 2017.