Individual provider · Type 1 NPI

Mary Diane Junglas, PhD, LMSW, CAAC

Clinical Social Worker · Detroit, MI

NPI number 1760799183 Active

Practice location

15000 Gratiot Ave
Detroit, MI 48205-1973

Call (313) 245-0600 Map

Mailing address

51108 Shelby Rd
Shelby Township, MI 48316-4051

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC-02432 (MI)
Clinical Social Worker Primary 1041C0700X6801057791 (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 1760799183

Mary Diane Junglas, PhD, LMSW, CAAC's National Provider Identifier is 1760799183, issued on Sep 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 7, 2010.