Individual provider · Type 1 NPI

Ilya V. Davidovich, LMSW

Clinical Social Worker · Monroe, MI

NPI number 1790128494 Active

Practice location

1001 S Raisinville Rd
Monroe, MI 48161-9754

Call (734) 384-0305 Map

Mailing address

5875 S Ivanhoe Ave
Ypsilanti, MI 48197-7113

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801087558 (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 1790128494

Ilya V. Davidovich, LMSW's National Provider Identifier is 1790128494, issued on Apr 11, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Monroe, MI. The record was last updated on Apr 11, 2013.