Individual provider · Type 1 NPI

Glenn Risse

Clinical Social Worker · Fort Gratiot, MI

NPI number 1760429419 Active

Practice location

3847 Pine Grove Ave, Suite A
Fort Gratiot, MI 48059-4217

Call (810) 985-4009 Map

Mailing address

1011 Military St
Port Huron, MI 48060-5416

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801078284 (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 1760429419

Glenn Risse's National Provider Identifier is 1760429419, issued on Jun 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Gratiot, MI. The record was last updated on Jul 13, 2026.