Individual provider · Type 1 NPI

Mia K. Johnson

Clinical Social Worker · Detroit, MI

NPI number 1720705841 Active

Practice location

6309 Mack Ave
Detroit, MI 48207-2302

Specialties and licenses

Taxonomy	Code	License
Behavior Technician	106S00000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed

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 1720705841

Mia K. Johnson's National Provider Identifier is 1720705841, issued on Oct 20, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Nov 28, 2023.