Individual provider · Type 1 NPI

Lakeidra Bronner

Clinical Social Worker · Detroit, MI

NPI number 1780182436 Active

Practice location

20303 Kelly Rd
Detroit, MI 48225-1206

Call (313) 308-1400 Map

Mailing address

42287 Kingsley Dr
Clinton Township, MI 48038-1674

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801102114 (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 1780182436

Lakeidra Bronner's National Provider Identifier is 1780182436, issued on Jan 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Jan 29, 2018.